Review Article

Treatment of Ganglion Cysts

Table 5


Complication rate

Open excision

Angelides and Wallace 1976 [26]Dorsal0/346 (0%)1.2% had 0–10 degree loss of volar flexion
Janzon and Niechajev 1981 [27]Not reported
Clay and Clement 1988 [28]Dorsal0/51 (0%)1 had evidence of scapholunate dissociation
Watson et al. 1989 [29, 30]Dorsal and palmarNot reported
Jacobs and Govaers 1990 [31]Palmar20/71 (28%)20 had unsatisfactory scar (2 had evidence of neuroma), 20 had evidence of median nerve damage
Wright et al. 1994 [13]Palmar6/72 (8.3)superficial infection, tendinitis, and pain dystrophy
Filan and Herbert 1996 [32]Recurrent dorsalNot reported
Hwang et al. 1999 [33]Dorsal3/19 (16%)1 suture abscess, 1 loss of wrist flexion of 45 degree, and 1 transient neuropraxia
Faithfull and Seeto 2000 [34]Dorsal and palmarNot reported
Gündeş et al. 2000 [35]24 dorsal12.5%1 had evidence of radial nerve injuries
16 volar56%2 had evidence of median nerve injuries, 2 had radial artery injuries
Akkerhuiset al. 2002 [20]Wrist and footNot reported
Limpaphayom and Wilairatana 2004 [23]Dorsal 0/11 (0%)
Kang et al. 2008 [36]Dorsal0/23 (0%)
Rocchi et al. 2008 [37]Palmar7/25 (28%)4 radial artery injuries, 2 partial stiffness of the wrist, and 1 neuropraxia

Arthroscopy + open

Dias and Buch 2003 [6]Palmar20%
Dias et al. 2007 [7]Dorsal8/103 (7.8%)3 numbness, 4 scar tender, and 1 keloid

Arthroscopic resection

Osterman and Raphael 1995 [38]Dorsal0/18 (0%)
Luchetti et al. 2000 [39]Dorsal0/34 (0%)
Ho et al. 2001 [40]Dorsal0/19 (0%)
Palmar0/5 (0%)
Nishikawa et al. 2001 [41]Dorsal 0/37 (0%)
Shih et al. 2002 [42]DorsalNot reported
Rizzo et al. 2004 [43]Dorsal10/47 (21%)10 postoperative stiffness
Mathoulin et al. 2004 [44]Dorsal0/96 (0%)
Palmar1/32 (3.1%)1 hematoma
Rocchi et al. 2006 [45]Dorsal and palmar4/47 (8.5%)1 radial artery injury, 1 haematoma, and 2 axonotmesis
Kang et al. 2008 [36]Dorsal1/41 (2.1%)1 neuropraxia
Rocchi et al. 2008 [37]Palmar2/25 (8%)1 neuropraxia, 1 injury to a branch of the radial artery
Edwards and Johansen 2009 [46]Dorsal3/55 (5.5%)3 extensor tenosynovitis
Chen et al. 2010 [47]Dorsal and palmar1/15 (6.7%)1 case of transient paresthesia