Affiliation:
1. M.S. (Professor),
2. Kumar* (Post Graduate),
3. (Post Graduate),
Abstract
Background: About 60-70% of ganglion cysts are found in dorsal part of the wrist. Dorsal carpal ganglion is one of the
most common benign tumours of the hand .Many treatment modalities had been proposed and yielded the same success
rate.This study compared aspiration followed by intra-lesional steroid (triamcinolone acetate) injection and surgical excision in the management
of dorsal wrist ganglion.
Methods: From June 2019 to June 2020 in Department of General Surgery, King George Hospital, Visakhapatnam, India, 86 Patients with dorsal
wrist ganglions were considered. Of them 62 patients underwent surgical excision and 24 patients underwent aspiration followed by intralesional
triamcinolone injection.
Results: Subjects ranged between 16-48 years with mean age of 24.8 yrs. Females(68) outnumbered males(18) by ratio 3.78:1.The most
common presenting symptom was pain in 52(60.46%),cosmetic in 49(56.98%),apprehension of tumor In 34(39.53%).Recurrence was the most
common complication of treatment of ganglions. The success by excision was 85.4% and by aspiration combined triamcinolone was 75%.
Conclusion: Surgery is the most successful form of treatment when considering the cure rate of dorsal wrist ganglion in comparison to aspiration
with intralesional steroid.