Simple wrist ganglia in children: a follow-up study

Our study aimed at characterizing the natural history and defining the indications for surgical intervention for pediatric ganglia. Thirty-four cases of children under the age of 17 years were reviewed. Twenty-nine children were treated conservatively, with spontaneous resolution in 27 within an average of 9 months; four were treated by aspiration; recurrence was observed in one, and one underwent surgical excision without recurrence. We recommend a conservative management coupled with reassurance for the child and parents. Surgery should be considered for ganglions with atypical appearance or complaints, and large cysts that do not show signs of resolution within a year.