title: Surgery for wrist Ganglia: one-hundred and twenty-two patients reviewed 8 years after operation.
abstract: Wrist ganglia give few symptoms, but are a common reason for referral to a hand surgeon. We studied patient long-term satisfaction after operation. We reviewed 122 patients, who were operated for dorsal (n=82) and volar (n=40) wrist ganglia 8 years before (range 3-11). Three radial arteries were injured during surgery for volar a ganglion. By the time of review 33 patients (27%) had a recurrence or had been re-operated. Radical surgery did not reduce the recurrence rate significantly. Reported general complaints from the wrist improved from a mean visual analogue scores (VAS, 0=best; 100= worst) of 56 before surgery to VAS 14 at review and unsightliness from VAS 50 to VAS 14. Patients were equally happy with transverse and longitudinal scars. Ten patients (8%) stated that they would not have consented to surgery if they had known the outcome in advance. We conclude that, in spite of a high recurrence rate, most patients are happy with the results of surgery.
authors.affiliation: Department of Orthopedic Surgery, St. Olav's University Hospital , Trondheim, Norway ; Faculty of Medicine, Norwegian University of Science and Technology , Trondheim, Norway.
authors.forename: Vilhjalmur
authors.initials: V
authors.lastname: Finsen
authors.affiliation: Department of Orthopedic Surgery, St. Olav's University Hospital , Trondheim, Norway.
authors.forename: Oyvind
authors.initials: O
authors.lastname: Håberg
authors.affiliation: Department of Orthopedic Surgery, St. Olav's University Hospital , Trondheim, Norway.
authors.forename: Grethe Elisabeth
authors.initials: GE
authors.lastname: Borchgrevink
keywords: aspiration; ganglion; operation; patient satisfaction; recurrence; wrist
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