Acıbadem Fulya Hospital Orthopedics and Traumatology / Hand Surgery Specialist Prof. Dr. Kahraman Öztürk gave information about the ganglon cysts seen on the wrists and fingers and their treatment.
prof. Dr. Noting that it is important to consult a doctor when ganglions on the wrists and fingers are noticed, Kahraman Öztürk said, “These cysts can cause severe pain that can seriously restrict the movements of the wrist over time. In addition, if the ganglia associated with ligament tears are not treated, they can cause progressive degeneration of the carpal bones and instability in the wrist, that is, instability, instability. said.
“Beware of the slow growing swelling”
prof. Dr. Stating that swelling may also be accompanied by pain, weakness and a decrease in grip strength, Kahraman Öztürk said, “Ganglon cysts are diagnosed in approximately 25 thousand people every year in our country when we compare them with the incidence in the world. These cysts, which are unknown in whom, how and why they will occur, are more common in women. At least 10 percent of the patients have a certain traumatic history and repeated minor traumas can lead to the development of ganglion. These cysts, which are filled with mucin, in other words, slimy fluid, usually form on the joint capsule, inter-carpal ligaments, tendon or tendon sheath. The cyst appears well circumscribed, white and translucent. “Patients often complain that after a period of increased activity, the swelling grows and the pain is additive.”
“The cause of the pain may be the 'hidden' ganglion”
Especially in the dorsal wrist, hidden ganglia that appear with pain without causing swelling are also common. Occult dorsal wrist ganglia are defined as unnoticed cystic lesions because they are smaller than 5 mm. prof. Dr. Kahraman Öztürk said, “Hidden ganglia can be responsible for unexplained wrist pain and are disproportionately sensitive. This type of ganglion cysts can cause severe pain on the wrist with lifting movement, strong gripping, turning movements and sports activities. he said.
“How is it diagnosed?”
prof. Dr. Kahraman Öztürk said, “Clinically, the presence of soft swelling, movement of the cyst fluid when pressed during the examination, and transullimination of the cyst are usually sufficient for the diagnosis. Ultrasound is used to evaluate the extent and size of the cyst, and radiography is used to evaluate carpal bone involvement. Magnetic resonance imaging is more necessary in the case of the “hidden ganglion”.
The treatment of ganglion cyst starts with non-surgical methods. With non-surgical methods such as the use of wrist rest splint and avoidance of strenuous activities, the ganglion cyst heals spontaneously at a rate of 40-50%. With the continuous use of the wrist splint for 3 months, the pain can disappear and the cyst can shrink. Still, there is a 60% chance of recurrence. Recurrence may develop at the same rate in the treatment performed in the form of ultrasound-guided evacuation of the cyst contents.
prof. Dr. Kahraman Öztürk stated that surgical treatment is applied if the swelling adjacent to the artery in the volarine does not decrease with the rest splint or continues to grow, adding, “Surgical treatment is also applied for pain that occurs with activity in the dorsal ganglia of the wrist or increases during sports.” says.
The surgical procedure involves the removal of the ganglion cyst by open or arthroscopic (minimally invasive surgery with an endoscope) method. prof. Dr. Pointing out that surgical excision, that is, removal of the mass from the body, continues to be the gold standard in the treatment of ganglion cyst, Kahraman Öztürk said, “Cysts with swelling in the dorsal wrist and occult dorsal wrist cysts can be successfully treated with the arthroscopic excision method. The recurrence rate of cysts was also significantly reduced, thanks to surgical techniques that included the removal of the pedicle, in other words, the cyst stem and the entire ganglion structure. The recurrence rate of volar ganglia is slightly higher.” he said.
Orthopedics and Traumatology / Hand Surgery Specialist Prof. Dr. Kahraman Öztürk stated that the same success rate was achieved with open surgery in removing the ganglion from the body arthroscopically and continued his words as follows:
“In addition, partial limitation of motion, infection, neuroma (benign tumor of the nerve), scarring and keloid can be seen in the wrist after open surgery. After arthroscopic removal of the ganglion, there are fewer cosmetic scars and the patient begins to use the wrist earlier.”
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