Syed Mujahid Humail, Abdur Rub Abidi, Shaikh Naeem Ul Haq And Ghulam Mustafa Kk.
Comparative study of two methods for treatment of dorsal wrist ganglion.
J Pak Orthop Assoc Jan ;22(1):53-7.

OBJECTIVE: The purpose of this study was to compare the effectiveness of the two treatment modalities, surgical excision and aspiration with steroid injection of dorsal wrist ganglion. STUDY DESIGN: A prospective descriptive study. PLACE AND DURATION OF STUDY: This is multicenter study conducted at department of Orthopaedics Dow University of Health Sciences, Jinnah Medical College Hospital & Remedial Centre Hospital from June 2007 to June 2008. PATIENTS & METHODS: A total of 137 patients were included in this study. All patients were thoroughly examined to exclude the other causes of wrist swelling. The patients were divided into two groups A and B according to their choice of treatment. Group A were treated by surgical excision and group B were treated by aspiration followed by steroid injection. Baseline data were recorded preoperatively and postoperative date obtained at the intervals of 02 weeks, 06 weeks, 03 months and 1 year. At the end of 01 year data from completed and result analyzed. RESULTS: Patient’s satisfaction was higher in group A after surgical excision even if the ganglions recurred. The recurrence rate was 24% in surgical excision group and 43% in aspiration with steroid injection group B. CONCLUSION: In this study excision had better results comparing to aspiration and injection.

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