Aspiration and Methyl Prednisolone Injection into the Cyst in the Treatment of Wrist Ganglia: Experience at a Rural Medical College
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 2
Abstract
The objective of the study was to evaluate the results of aspiration combined with injection of methyl prednisolone in the treatment of wrist ganglions. It was a prospective study from March 2010 to April 2013 that comprises twenty five patients who presented with wrist ganglion. All patients were assessed in detail clinically, and treated by aspiration with 16 gauge needle and 5cc syringe followed by injection methyl prednisolone. The average follow-up time was one year. Out of 25 patients, 21 (84%) had a dorsal carpal ganglion and 4 (16%) a volar ganglion. Eighteen (72%) cases were females and 7 (28%) males, with an age range from 17-55 years. All patients complained of a localized swelling. While 18 (72%) had pain during activity. 92% cases had a smooth recovery, while two had residual swellings requiring re-aspiration and injection of methyl prednisolone. No recurrence of the ganglion occurred in any case. In conclusion, aspiration combined with injection methyl prednisolone for treating ganglions of wrist is a simple, economic, cosmetic, uncomplicated procedure which can be done in the out-patient department. It is reliable and safe alternative to open resection for successful eradication of the wrist ganglion.
Authors and Affiliations
Pawan Tiwari, Madhu Tiwari, Manmohan Sharma, Raminder Talukdar, K. L. Garg
Keywords
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