Dorsal Capsular Defect and Synovial Fistula to the Fourth Extensor Compartment: A Late Complication after Arthroscopic Dorsal Wrist Ganglionectomy

Research output: Contribution to journalArticle

Abstract

Arthroscopic dorsal wrist ganglionectomy is demonstrably a safe procedure with recurrence rates comparable to open surgery. We present a patient with wrist pain following arthroscopic ganglion excision. MRI and arthroscopic findings showed a large dorsal capsular defect, synovial fistula to the fourth extensor compartment, and dorsal radiocarpal ligament resection. Ligament reconstruction and capsular imbrication resolved her symptoms. We postulate that this complication resulted from a large capsular resection. Because we feel that it can be difficult to judge the size of the debridement through an arthroscope, the need for adequate capsular resection in dorsal wrist ganglionectomy needs to be balanced by consideration of potential complications from more aggressive capsular debridement, and thus we feel that capsular resection should be limited to no more than 1 cm2.

Original languageEnglish (US)
Pages (from-to)404-407
Number of pages4
JournalThe journal of hand surgery Asian-Pacific volume
Volume23
Issue number3
DOIs
StatePublished - Sep 1 2018

Keywords

  • Arthroscopy (adverse events)
  • Ganglion cysts
  • Ganglions
  • Wrist

ASJC Scopus subject areas

  • Medicine(all)

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