To hear about similar clinical trials, please enter your email below
Trial Title:
Arthroscopic Versus Open Excision of Dorsal Wrist Ganglion
NCT ID:
NCT06366958
Condition:
Hand Ganglion
Conditions: Official terms:
Ganglion Cysts
Synovial Cyst
Study type:
Interventional
Study phase:
N/A
Overall status:
Not yet recruiting
Study design:
Allocation:
Randomized
Intervention model:
Parallel Assignment
Primary purpose:
Treatment
Masking:
Single (Participant)
Intervention:
Intervention type:
Procedure
Intervention name:
excision of dorsal wrist ganglion
Description:
open and arthroscopic excision of dorsal wrist ganglion
Arm group label:
group 1
Arm group label:
group 2
Summary:
compare recurrence rates after open and arthroscopic excision of dorsal wrist ganglion
Detailed description:
DORSAL GANGLIONS (DGS) are one of the most frequent problems of the wrist. They represent
benign soft tissue tumors that frequently remain asymptomatic. Suggested causes include
trauma to the scapholunate joint, degeneration of tissue lining a tendon or sheath near
the joint, and synovial herniation in most cases, diagnosis is based on history and
physical examination. Patients seek treatment when these ganglions become associated with
pain, weakness, interference with activities, and an increase in size Other than
observation, nonoperative treatment such as closed rupture, ganglion puncture, and needle
aspiration is associated with relatively higher rates of recurrenceas high as 78%.
Surgical treatment with either open or arthroscopic excision is therefore offered with a
lower risk of recurrence. Whereas open excision has historically been the traditional
method of surgical treatment, arthroscopic excision has been suggested as a potentially
more favorable alternative. Proponents of wrist arthroscopy proclaim an advantage of
decreased postoperative pain, earlier return of functions, and a smaller incision.
Moreover, preliminary and subsequent studies have described arthroscopic DG excision as
having equal or lower rates of recurrence. However, the results of arthroscopic versus
open procedures have never been directly compared.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
- Patients with a primary, simple DG with no underlying pathology of the wrist who
sought surgical treatment.
Exclusion Criteria:
-
1. Prior ganglion treatment (rupture, puncture, aspiration, or excision) 2.
Previous surgery 3. History of a fracture 4. Ligamentous tear or wrist
instability 5. Patients with major medical problems 6. Unacceptable anesthetic
risks, 7. Acquired or congenital abnormalities of wrist function or motion
Gender:
All
Minimum age:
10 Years
Maximum age:
70 Years
Healthy volunteers:
Accepts Healthy Volunteers
Start date:
May 2, 2024
Completion date:
April 2, 2025
Lead sponsor:
Agency:
Assiut University
Agency class:
Other
Source:
Assiut University
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT06366958
