title: Coexisting intraarticular disorders are unrelated to outcomes after arthroscopic resection of dorsal wrist ganglions.
abstract: BACKGROUND
  Dorsal wrist ganglions are one of the most frequently encountered problems of the wrist and often are associated with intraarticular disorders. However, it is unclear whether coexisting intraarticular disorders influence persistent pain or recurrence after arthroscopic resection of dorsal wrist ganglions.
  
  
  OBJECTIVE
  We investigated (1) which intraarticular disorders coexist with dorsal wrist ganglions and (2) whether they influenced pain, function, and recurrence after arthroscopic ganglion resection.
  
  
  METHODS
  We retrospectively reviewed 41 patients with primary dorsal wrist ganglions who underwent arthroscopic resection. We also obtained VAS pain scores and the Mayo Wrist Scores (MWS) preoperatively and at 2 weeks, 6 weeks, 3 months, 6 months, 1 year, and annually thereafter postoperatively. Minimum followup was 24 months (mean, 38.9 months; range, 24-60 months).
  
  
  RESULTS
  Twenty-one patients had other coexisting intraarticular disorders: 18 triangular fibrocartilage complex tears and nine intrinsic ligament tears. All coexisting disorders were treated simultaneously. Two years after surgery, the mean VAS pain score decreased from 2.4 to 0.6, and mean grip strength increased from 28 to 36 kg of force. The mean active flexion-extension showed no change. The mean MWS improved from 74 to 91. Three ganglions recurred. There was no difference in mean VAS pain score and MWS preoperatively and at 2 years after surgery or recurrence of ganglions between patients with or without coexisting lesions.
  
  
  CONCLUSIONS
  Intraarticular disorders commonly coexist with ganglions but we found they were unrelated to pain, function, and recurrence after arthroscopic resection of the ganglion when the intraarticular disorders were treated simultaneously.
  
  
  METHODS
  Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
authors: Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
authors: Ho Jung
authors: HJ
authors: Kang
authors: Il Hyun
authors: IH
authors: Koh
authors: Ji Sub
authors: JS
authors: Kim
authors: Yun Rak
authors: YR
authors: Choi
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000009:adverse effects; D001696:Biomechanical Phenomena; D016009:Chi-Square Distribution; D005260:Female; D018737:Hand Strength; D006801:Humans; D008022:Ligaments / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D013581:Synovial Cyst / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D051478:Triangular Fibrocartilage / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D014953:Wrist / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014954:Wrist Injuries / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D055815:Young Adult