title: Pediatric ganglion cysts of the hand and wrist: an epidemiologic analysis.
abstract: We analyzed all hand and wrist ganglions in patients aged 12 years and younger that were treated at our institution during a 3-year period. Our patients were predominately female (1.8:1). Volar ganglions were more common (1.2:1), whereas dorsal ganglions have been reported to be more common in adults. Ganglions had a higher incidence of arising from tendon sheaths in our patients (33%) compared to what has been previously reported for ganglions in studies of all age groups (5% to 16%). While observation and/or splinting alone will likely be helpful in resolution of a majority of pediatric hand and wrist ganglions, surgical excision should be employed in those that are symptomatic and/or do not resolve with observation.
authors.affiliation: Christine M. Kleinert Institute for Hand and Microsurgery, 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Coffey
authors.forename: M Fazlur
authors.initials: MF
authors.lastname: Rahman
authors.forename: Sunil M
authors.initials: SM
authors.lastname: Thirkannad
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