O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE

D.P. LaValette; G.E.B. Giddins

doi:10.1302/0301-620X.86BSUPP_III.0860272

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O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE

D.P. LaValette
G.E.B. Giddins

O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE

LaValette D, Giddins G. O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE. Orthop Procs. 2004;86-B(SUPP_III):272-272. doi:10.1302/0301-620X.86BSUPP_III.0860272

LaValette, D.P., and G.E.B. Giddins. “O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE.” Orthopaedic Proceedings, vol. 86-B, no. SUPP_III, 2004, pp. 272-272., https://doi.org/10.1302/0301-620X.86BSUPP_III.0860272

LaValette, D., & Giddins, G. (2004). O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE. Orthopaedic Proceedings, 86-B(SUPP_III), 272-272. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860272

LaValette, D. and Giddins, G. (2004) “O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE.” Orthopaedic Proceedings, 86-B(SUPP_III), pp. 272-272. Available at: https://doi.org/10.1302/0301-620X.86BSUPP_III.0860272

LaValette, D.P., and G.E.B. Giddins. “O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE.” Orthopaedic Proceedings 86-B, no. SUPP_III (2004): 272-272. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860272

LaValette D, Giddins G. O1464 THE TREATMENT OF SEED GANGLIA IN THE HAND BY BURST AND PARTIAL PULLEY RELEASE. Orthop Procs. 2004 Mar 1;86-B(SUPP_III):272-272. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860272

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Abstract

Aim: To assess the efficacy of percutaneous needle bursting and limited percutaneous pulley division in the treatment of seed ganglia.

Methods: A prospective cohort study was run. All patients in the study had ganglia bursting by lignocaine injection. If this failed a limited percutaneous release was performed as at open release for trigger finger.

Results: There were 52 patients treated over a four-year period. 31 were female and 21 male with an average age of 37 years. The fingers involved were: index (6), middle (21), ring (19), little (5) and thumb (1)

Complications were 3 patients with mild stiffness at review (6 months, 1year and 2years), and one digital nerve injury.

Conclusions: Burst alone works in 50% of patients. Percutaneous release is effective in 69% of patients. It appears to be a safe and reliable alternative to open surgery, especially if restricted to midline lesions.

Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.