Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Orthopaedic Surgery


Answer 1
  1. Surgical excision of the cyst by cutting the cyst stalk at the dorsal scapholunate ligament. Surgical excision of the ganglion cyst involves tangentially cutting the entire cyst stalk at its base. The stalk is exposed by blunt dissection and then cut free from its most common attachment site, the dorsal scapholunate ligament. Recurrence rates with this procedure are low as compared with nonsurgical methods. If the cyst sac is removed superficially, the preserved stalk may cause recurrence. Traumatic rupture of the cyst is no longer performed because of the risk of vascular damage and high recurrence rates. Although serial aspirations and aspirations followed by methylprednisolone have shown promising results, aspiration with multiple needle punctures or sclerosing agents is not recommended.1

    REFERENCES
    1.
     Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin 2004;20:249-60.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj