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Category: Volume 08 Issue 07 July 2020
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Title: Efficacy of Aspiration and Steroid Injection in treatment of dorsal Ganglion Cyst of Wrist

Authors: Farooq Ahmad Lone, Ajaz Ahmad Bhat, Javid Ahmad Nabir

 DOI: https://dx.doi.org/10.18535/jmscr/v8i7.32

Abstract

Introduction: Ganglion cysts are soft tissue swellings occurring most commonly in the hand or wrist. Apart from swelling, most cysts are asymptomatic. Other symptoms include pain, weakness, or paraesthesia. The two main concerns patients have are the cosmetic appearance of the cysts and the fear of future malignant growth.

Aim: To determine the Efficacy of Aspiration and Steroid Injection in Treatment of dorsal wrist Ganglion Cyst.

Methods: This prospective study was conducted on 40 patients in the Department of Orthopaedics, Government Medical College Srinagar from June 20I7 to December 2018. 40 patients having dorsal wrist ganglions were treated .The aspiration was carried out under sterile technique, area infiltrated with 1% lignocaine, followed by aspiration of ganglion content using 16 G needle and injection of Methyl-prednisolone Acetate BP 40 mg/ml. The patients were advised to carry out their normal activities and follow up was done at 6 weeks, 3 months and 6 month.

Results: Out of total 40 patients 24 (60%) were female and 16(40%) were male patients. The mean age of the patient was 27 with age range of 16-55. The patients were followed up for a period of 6 months, out of total 40 patients (26) 65% patients had no recurrence while (14) 35 % patients had recurrent ganglion cyst.

Conclusion: we concluded that aspiration with steroid injection can be a useful alternative in treating ganglion wrist.

Keywords: Ganglion cyst wrist, dorsal, aspiration, steroid (methyl prednisolone) injection.

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Corresponding Author

Ajaz Ahmad Bhat

Registrar, Orthopaedic Department, GMC Srinagar