Arthroscopic Versus Open Excision of Dorsal Wrist Ganglion

NCT ID: NCT06366958

Last Updated: 2024-04-16

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 46 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-05-02
• Study Completion Date: 2025-04-02

Brief Summary

compare recurrence rates after open and arthroscopic excision of dorsal wrist ganglion

Detailed Description

DORSAL GANGLIONS (DGS) are one of the most frequent problems of the wrist. They represent benign soft tissue tumors that frequently remain asymptomatic. Suggested causes include trauma to the scapholunate joint, degeneration of tissue lining a tendon or sheath near the joint, and synovial herniation in most cases, diagnosis is based on history and physical examination. Patients seek treatment when these ganglions become associated with pain, weakness, interference with activities, and an increase in size Other than observation, nonoperative treatment such as closed rupture, ganglion puncture, and needle aspiration is associated with relatively higher rates of recurrenceas high as 78%. Surgical treatment with either open or arthroscopic excision is therefore offered with a lower risk of recurrence. Whereas open excision has historically been the traditional method of surgical treatment, arthroscopic excision has been suggested as a potentially more favorable alternative. Proponents of wrist arthroscopy proclaim an advantage of decreased postoperative pain, earlier return of functions, and a smaller incision. Moreover, preliminary and subsequent studies have described arthroscopic DG excision as having equal or lower rates of recurrence. However, the results of arthroscopic versus open procedures have never been directly compared.

Conditions

Hand Ganglion

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

group 1

arthroscopic excision

Group Type: OTHER

excision of dorsal wrist ganglion

Intervention Type: PROCEDURE

open and arthroscopic excision of dorsal wrist ganglion

group 2

open excision

Group Type: OTHER

excision of dorsal wrist ganglion

Intervention Type: PROCEDURE

open and arthroscopic excision of dorsal wrist ganglion

Interventions

excision of dorsal wrist ganglion

open and arthroscopic excision of dorsal wrist ganglion

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients with a primary, simple DG with no underlying pathology of the wrist who sought surgical treatment.

Exclusion Criteria

• 1. Prior ganglion treatment (rupture, puncture, aspiration, or excision) 2. Previous surgery 3. History of a fracture 4. Ligamentous tear or wrist instability 5. Patients with major medical problems 6. Unacceptable anesthetic risks, 7. Acquired or congenital abnormalities of wrist function or motion

• Minimum Eligible Age: 10 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Abdelaal Sayed

resident

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

mohamed A sayed, master

Role: CONTACT

mohamed.20134291@med.edu.aun.eg

01097370350

References

Meena S, Gupta A. Dorsal wrist ganglion: Current review of literature. J Clin Orthop Trauma. 2014 Jun;5(2):59-64. doi: 10.1016/j.jcot.2014.01.006. Epub 2014 Jun 3.

Reference Type: BACKGROUND

PMID: 25983472 (View on PubMed)

Konigsberg MW, Tedesco LJ, Mueller JD, Ball JR, Wu CH, Kadiyala RK, Strauch RJ, Rosenwasser MP. Recurrence Rates of Dorsal Wrist Ganglion Cysts After Arthroscopic Versus Open Surgical Excision: A Retrospective Comparison. Hand (N Y). 2023 Jan;18(1):133-138. doi: 10.1177/15589447211003184. Epub 2021 Apr 1.

Reference Type: BACKGROUND

PMID: 33789496 (View on PubMed)

Other Identifiers

Dorsal wrist ganglion

Identifier Type: -

Identifier Source: org_study_id