[Dorsal ganglion of the wrist joint: a trivial, minor surgery intervention?].
A small operation which is thought to be trivial with a recurrence rate of 30 to 40 percent. The dorsal ganglion of the hand arises from the typical predilection site in the dorsal portion of the scapholunate ligament. By excising the capsular attachments over the scapholunate ligament we can significantly reduce the recurrence rate to only a few percent. But the absence of recurrence doesn't guarantee for certain that the patients are painfree. In spite of the operation one third of the patients complain of persisting pain which is often due to an irritation of the posterior interosseous nerve (PIN) by the ganglion. A selective dissection and resection of the PIN proximal to the radiocarpal unit as a partial dorsal wrist denervation is proposed. This shows that the indication for the operation must be evaluated thoroughly.
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Meier
D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D013581:Synovial Cyst / Q000601:surgery*; D014953:Wrist / Q000601:surgery*
Das dorsale Handgelenksganglion: ein trivialer, kleinchirurgischer Eingriff?