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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2013 April;64(2):115-20
Blinded cyst wall rupture of the flexor tendon sheath ganglions: an effective and simple treatment
Turan A., Kose O., Arik H. O., Guler F., Tokatman B., Akalin S. ✉
Antalya Education and Research Hospital, Orthopedics and Traumatology Department, Antalya, Turkey
Aim: The purpose of this study was to report the results of blinded cyst wall rupture of the FTSG in the hand in a consecutive series of patients.
Methods: We prospectively followed 28 patients with flexor tendon sheath ganglion who were treated with cyst wall rupture. We performed needle rupture no more than two attempts. Surgical excision was performed in these recurrent cases. Recurrence and patient satisfaction was the major outcomes.
Results: All patients were followed at least 6 months with a mean of 11.1±4.4 months (range, 6-20). In 23 (82.1%) cases, the cyst did not recur during the follow-up after a single rupture. A second attempt of cyst wall rupture was performed in five cases. Of these cysts, three recurred. Two patients were operated and one patient refused the surgery. The overall success rate of cyst wall rupture (one or two) was 89.3%. Permanent paresthesia due to digital nerve injury was seen in one patient.
Conclusion: Blinded cyst wall rupture in patients with flexor tendon sheath ganglia is a practical procedure which be performed in outpatient clinic with high patient satisfaction and a low recurrence and complication rate