title: Chemical Substances Used in the Treatment of Ganglions Located in the Hand and Wrist.
abstract: The aim of this work was to compare different chemical substances used in the treatment of ganglions located in the hand and wrist region. Their basic properties and mechanisms of action have been described. Moreover, the risks associated with the use of particular substances have been highlighted and potential complications connected with their administration have been discussed. On the basis of the available literature, the results of ganglion aspiration treatment followed by an injection of a chemical substance into the cyst cavity have been assessed. In the authors' opinion, due to the existing risk of complications associated with this treatment, as well as the relatively high rate of ganglion recurrence, this procedure should only be performed by qualified medical personnel. The authors recommend observation in cases of asymptomatic ganglions of the hand and wrist, and operative treatment in cases in which pain, restriction of limb mobility and weakening of handgrip strength are observed.
authors.affiliation: Department of Traumatology, Clinical Department of Traumatology and Hand Surgery, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Kuliński
authors.affiliation: Department of Traumatology, Clinical Department of Traumatology and Hand Surgery, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Olga
authors.initials: O
authors.lastname: Gutkowska
authors.affiliation: Department of Traumatology, Clinical Department of Traumatology and Hand Surgery, Wroclaw Medical University, Wroclaw, Poland.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Gosk
mesh_terms: D000893:Anti-Inflammatory Agents / Q000009:adverse effects / Q000627:therapeutic use; D045888:Ganglion Cysts / Q000188:drug therapy*; D006225:Hand; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D011278:Pregnanes / Q000009:adverse effects / Q000627:therapeutic use*; D012008:Recurrence; D012981:Sodium Tetradecyl Sulfate / Q000009:adverse effects / Q000627:therapeutic use*; D016896:Treatment Outcome; D014953:Wrist
chemical_list: D000893:Anti-Inflammatory Agents; D011278:Pregnanes; D006821:Hyaluronoglucosaminidase; D012981:Sodium Tetradecyl Sulfate
keywords: ganglion cysts; hand; hyaluronoglucosaminidase; steroids; wrist