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Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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Pediatric Ganglion Cyst Recurrence: Location Isn't the Only Risk Factor.

Megan L Mooney1, Cale A Jacobs2,3, Vincent W Prusick2,3

  • 1The University of Toledo Medical Center, Toledo, OH.

Journal of Pediatric Orthopedics
|February 4, 2020
PubMed
Summary
This summary is machine-generated.

Recurrence of pediatric ganglion cysts is linked to older age, painful masses, and wrist location. Ultrasound measurements of cyst volume did not predict recurrence in this study.

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Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Musculoskeletal Imaging

Background:

  • Ganglion cysts are common benign soft-tissue masses of the hand and wrist.
  • Most are treated nonoperatively with low recurrence rates.
  • Risk factors for recurrence in pediatric patients are not well-established.

Purpose of the Study:

  • Identify risk factors for ganglion cyst recurrence in children.
  • Determine if ultrasonographic imaging can predict recurrence.

Main Methods:

  • Retrospective chart review of pediatric patients with hand or wrist ganglion cysts.
  • Data collected included demographics, cyst characteristics, and ultrasound reports.
  • Statistical and logistic regression analyses were performed.

Main Results:

  • 132 cysts in 126 pediatric patients were analyzed; average age 8.5 years.
  • Dorsal wrist cysts had a significantly higher recurrence risk (OR=18.1, P=0.048).
  • Older age (P<0.001), symptomatic masses (P=0.02), and surgical excision (P<0.001) were associated with recurrence.

Conclusions:

  • Older age, symptomatic masses, wrist location, and surgical excision are risk factors for pediatric ganglion cyst recurrence.
  • Ultrasound cyst volume measurements did not predict recurrence.
  • Further research may explore other predictive imaging markers.