Treatment of dorsal wrist ganglion cyst by establishing midcarpal volar portal using the “Kiss-in” method

Treatment of dorsal wrist ganglion cyst by establishing midcarpal volar portal using the “Kiss-in” method

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IntroductionThis paper introduces the treatment and clinical outcome of the dorsal wrist ganglion cyst utilizing the Kiss-in method to establish a midcarpal volar portal.Materials and methodsPatients with dorsal ganglia of the wrist (n = 12, 6 females, 6 males) underwent arthroscopic surgery using the Kiss-in method at our hospital between September 2018 and January 2021.All patients underwent preoperative radiological investigations, such as magnetic resonance imaging (MRI; 12 cases) or ultrasonography (12 cases).The Bed Rails mean age of patients was 30.

7 years (range: 19–46 years).The time lost from work, the wrist motion and strength, the presence of scarring, residual symptoms, complications, and recurrence were recorded at a mean Video Cameras follow-up of 24 months.ResultsEleven patients showed a good prognosis with active motion recovery.One patient showed the recurrence of ganglion, and the second arthroscopic resection was performed 5 months after the first surgery for this patient.

After the surgery, the patient fully recovered.ConclusionsEstablishing the midcarpal volar portal by the Kiss-in method is safe.The dorsal ganglion cyst resection through the established midcarpal volar portal is a promising approach, allowing better visualization and a broader range motion of the arthroscope.