FLEXOR TENDON SHEATH GANGLION: ANALYSIS OF 128 CASES

Author:

Abe Y.123,Watson H. K.123,Renaud S.123

Affiliation:

1. Department of Orthopaedic Surgery, Saiseikai Shimonoseki General Hospital, Shimonoseki, Japan

2. Connecticut Combined Hand Surgery Service — Hartford Hospital, University of Connecticut, Connecticut Children's Medical Center, Hartford, CT, USA

3. Yale University, New Haven, CT, USA

Abstract

A 30-year analysis of 128 patients with flexor tendon sheath ganglion was investigated. The majority of patients were females with sex ratio of 2.6 : 1. Most of the patients are in their third to fifth decade of life. Hand dominance, previous trauma as well as other illnesses involving the hand did not show any correlation to the formation of ganglion. The middle finger was most commonly affected and 69% of the ganglion were located on A1 and A2 pulley. Recurrence was high (89%) after multiple percutaneous puncture and treatment was successful with no cases of recurrence after surgical excision.

Publisher

World Scientific Pub Co Pte Lt

Subject

General Medicine

Reference13 articles.

1. A. C. Angelides, Green's Operative Hand Surgery 3, eds. D. P. Green, R. N. Hotchkiss and W. C. Pederson (Churchill Livingstone, Philadelphia, 1998) pp. 2171–2183.

2. Ganglions of the Hand and Wrist

3. J. Weinzweig and H. K. Watson, The wrist, eds. H. K. Watson and J. Weinzweig (Lippincott, Philadelphi, 2001) pp. 483–490.

4. Treatment of flexor tendon sheath ganglions using ultrasound imaging

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