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العنوان
Arthroscopic excision of dorsal wrist ganglion /
المؤلف
El-Sherbini, Rami Attia Abdel-Kareem Mahmoud.
هيئة الاعداد
باحث / رامى عطية عبدالكريم محمود الشربينى
مشرف / يحيى السعيد بسيونى
مشرف / وائل على ماهر العدل
مشرف / أدهم الشرقاوى الجعيدى
الموضوع
Hand - Wounds and injuries. Arm - Diseases - Treatment. Hand - Diseases - Treatment. Orthopedic Procedures.
تاريخ النشر
2016.
عدد الصفحات
67 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة المنصورة - كلية الطب - Orthopaedic
الفهرس
Only 14 pages are availabe for public view

from 73

from 73

Abstract

Dorsal wrist ganglion cysts are the most common soft-tissue tumors of the hand and wrist. Symptoms include aching in the wrist that may also radiate up the patient’s arm, pain with activity or palpation of the mass, decreased range of motion and decrease grip strength and may be just cosmetically annoying the patient . Excision of the dorsal wrist ganglion is one of the most common procedures performed by hand surgeons. Recurrence of the ganglion is the most frequently reported failure of any form of treatment and is believed to result from inadequate excision of the stalk and its satellite . Compared to an open ganglionectomy, arthroscopy uses smaller incisions and therefore leaves smaller scars and less wrist stiffness postoperative. Arthroscopy also allows for better visualization and identification of other intra-articular pathologies. Aim of the work is evaluation of results of arthroscopic excision of dorsal wrist ganglion. Thirty six patients with dorsal wrist ganglion were selected to be managed by arthroscopic excision and follow up them for six months for evaluation the efficacy and morbidity of this management method. from our study we concluded that: Recurrence is the biggest failure in the management of dorsal wrist ganglion and it varies from one center to another and many authors believe that there is no significant difference between open and arthroscopic excision. Arthroscopy provides good results without extensive blunt dissection, less scar and more cosmetic. Arthroscopic Excision avoids post operative stiffness and grip weakness and provides early return to work. Arthroscopy can identify associated intraarticular pathology in wrist joint if there is any. Midcarpal portals should be settled in arthroscopic excision to scan against associated pathology and identify any stalk of the cyst reaching the midcarpal joint.