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Recurrence of Dorsal Wrist Ganglia after Color-Aided Arthroscopic Excision: Minimum 1-Year Follow-Up
Zahab Ahsan, BS; Indiana University School of Medicine; Jeffrey Yao, MD
Stanford University, Stanford, CA

Purpose: Dorsal wrist ganglia (DWG) are the most common benign soft-tissue tumors of the wrist, representing up to 70% of wrist masses. This study retrospectively evaluates the recurrence and complications after arthroscopic excision of dorsal wrist ganglia (DWG) with a novel technique that involves intralesional injection of inert dye to improve visualization and resection of the ganglion stalk and cyst.
Methods: Upon IRB approval, a retrospective chart review was performed identifying 27 patients who had consecutively undergone arthroscopic excision of a DWG with the color-aided technique at our institution with a minimum follow-up duration of 12 months. Intraoperative findings were reviewed. Patients were contacted to investigate for incidence of recurrence.
Results: Of the 27 patient cohort, ganglion recurrence was identified in one patient, an incidence of 3.7%. No complications were identified. The stalk was identified in 100% of the color-aided arthroscopic DWG excisions.
Conclusions: The color-aided technique for arthroscopic DWG visualization was found to be a safe and valuable tool for surgeons performing arthroscopic DWG resection to help identify the intraarticular ganglion stalk. Patients responded well with a low incidence of recurrence and without complications. Level of Evidence: Level IV: Therapeutic Case Series.


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