5-Year Retrospective Analysis of Ganglion Cysts in Children at the University of Port Harcourt Teaching Hospital
DOI:
https://doi.org/10.60787/tnhj.v22i1.571Keywords:
Ganglion, pediatric ganglion, mucinous cysts, wrists swelling, painless cystsAbstract
Background: Ganglion cysts are swellings with mucinous contents that usually arise from underlying joint capsules or tendon sheaths. They are the most common soft tissue masses of the hand. In the pediatric population, recurrence rate tend to be higher when compared to adults following surgical excision.
Aim and Objectives: To determine clinical presentation, treatment methods and treatment outcomes of ganglion cysts among children attending the pediatric surgical clinic at the University of Port Harcourt Teaching Hospital.
Methods: All children aged 0 to18years with ganglion cysts who presented to the pediatric surgical clinic from January 2014 to December 2018 were retrospectively studied. Associations between the demographic characteristics and treatment outcomes were also analyzed with Chi-square and Fisher's exact test as appropriate. P < 0.05 was termed statistically significant.
Results: Twenty-six Pediatric ganglia were analyzed. A total of 532 pediatric consultations were made within the same period giving a prevalence rate of 4.8%. Upper limb ganglion constitute 77% of all ganglion seen within the study period with the dorsal wrist (38.5%, n=10) being the most common site of occurrence. The most common presenting symptom and the most common treatment modality were painless swelling (69.2% n=18) and surgical excisions (84.6%, n=22) respectively. Recurrence rate was low (3.8%, n/N=1/26).
Conclusion: Pediatric ganglion cysts can be safely treated with surgical excision. Complications rates are low after 12 months of follow-up. Data from this study can be useful in developing treatment guidelines.
Downloads
References
Nelson CL, Sawmiller S, Phalen GS. Ganglions of the wrist and hand. J Bone Joint Surg Am. 1972; 54: 1459–64.
Satku K, Ganesh B. Ganglia in children. J Pediatr Orthop
MacCollum MS. Dorsal wrist ganglions in children: Clinical notes. J Hand Surg. 1977;2:325
Rosson JW, Walker G. The natural history of ganglia in children. J Bone Joint Surg. 1989; 71B:707–8.
Coffey MJ, Rahman MF, Thirkannad SM. Pediatric ganglion cysts of the hand and wrist: An epidemiologic analysis. Hand. 2008:359–62
Simon Cypel TK, Mrad A, Somers G, Zuker RM. Ganglion cyst in children: Reviewing treatment and recurrence rates. Can J Plast Surg. 2011; 19(2):53-55.
Colon F, Upton J. Pediatric hand tumors. A review of 349 cases Hand Clin. 1995 May; 11(2):223-43.
Thornburg LEJ. Ganglions of the hand and wrist.Am Acad Orthop Surg. 1999 Jul-Aug; 7(4):231-8.
Richman JA, Gelberman RH, Engber WD, et al. Ganglions of the wrist and digits: Results of treatment by aspiration and cyst wall puncture. J Hand Surg. 1987; 12A: 1041–3.
MacKinnon AE, Azmy A. Active treatment of ganglia in children. Postgrad Med J. 1977 Jul; 53(621):378-81.
Wang AA, Hutchinson DTJ. Longitudinal observation of pediatric hand and wrist ganglia. Hand Surg Am. 2001 Jul; 26(4):599-602.
Angelides AC, Wallace PF. The dorsal ganglion of the wrist: its pathogenesis, gross and microscopic anatomy, and surgical treatment. J Hand Surg Am. 1976 Nov; 1(3):228-35.
Barnes WE, Larsen RD, Posch JL. Review of ganglia of the hand and wrist with analysis of surgical treatment. Plast Reconstr Surg. 1964 Dec; 34 :570-8.
Zachariae L, Vibe-Hansen H Ganglia. Recurrence rate elucidated by a follow-up of 347 operated cases. Acta Chir Scand. 1973; 139(7):625-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 The Nigerian Health Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
