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. 2017 Jun;22(2):219-221.
doi: 10.1142/S0218810417500289.

The Outcome of Treatment of Flexor Sheath (seed) Ganglia by a Percutaneous Partial Pulley Release

David Lavalette  1 , Grey Giddins  1
Affiliations

The Outcome of Treatment of Flexor Sheath (seed) Ganglia by a Percutaneous Partial Pulley Release

David Lavalette et al. J Hand Surg Asian Pac Vol. 2017 Jun.

Abstract

Background: The aims of this study were to assess the safety and efficacy of a technique of partial percutaneous pulley release.

Methods: A retrospective cohort study was undertaken treating adults with seed ganglia with a percutaneous pulley release. The patients were reviewed independently after a mean of 6 (range 6-36) months.

Results: We treated 24 patients over a 3 year period. There were 14 women and ten men. The mean age was 39 (range 17-65) years. We were able to assess 21 patients with long term follow up. There was complete resolution in 14 (2/3) and partial resolution in four. The remaining three patients had persisting symptoms and requested open surgical excision. Apart from local tenderness and failure of resolution there were no complications of percutaneous pulley release.

Conclusions: Bursting or aspiration of flexor sheath ganglia appears to be the best primary treatment. If the ganglion recurs, this study suggests a percutaneous release is safe and will resolve the symptoms in most patients.

Keywords: Flexor sheath; Ganglion; Percutaneous; Release.

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