Double intra venous cannula versus single needle technique of aspiration and methylprednisolone injection in the treatment of wrist ganglion: a comparative study

Siddharth Gupta; Rajesh K. Chopra; Mozammil Pheroz; Manish R. Gupta; Arvind Kumar; Gyanendra Puri; Surya V. Singh; Vikash K. Pandey

doi:10.18203/issn.2455-4510.IntJResOrthop20191456

Authors

Siddharth Gupta Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India
Rajesh K. Chopra Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India
Mozammil Pheroz Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India
Manish R. Gupta Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India
Arvind Kumar Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India
Gyanendra Puri Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India
Surya V. Singh Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India
Vikash K. Pandey Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20191456

Keywords:

Ganglion, Intravenous cannula, Aspiration, Methylprednisolone, Recurrence

Abstract

Background: Ganglion is the one of the common soft tissue swellings in the hand and wrist. Treatment options available include reassurance, nonsurgical means like aspiration with or without steroid or hyaluronidase injection and surgical or arthroscopic excision. All current treatment options produce suboptimal results. This study endeavours to compare the outcome and recurrence rate and other complications after treatment of wrist ganglion by aspiration and methylprednisolone injection by double Intravenous cannula versus single needle technique.

Methods: A prospective comparative clinical study was done with a total of 72 patients. 36 patients in group 1 were treated with double intravenous cannula technique and 36 patients in group 2 were treated with single needle technique. All the patients were followed up for 6 months to look for recurrence and any complication. The patient’s age, sex and various characteristics of the ganglion cyst like side, site, size, etc. were recorded.

Results: In group 1, recurrence was seen in 6 patients (15.7%) while in group 2, recurrence were seen in 14 (38.8%) patients. There was statistical significant difference between the two groups with p value of 0.04. No complication was seen in both groups due to methylprednisolone injection.

Conclusions: Inspired by the results we advise to use aspiration and methylprednisolone injection by double intravenous cannula technique in the treatment of wrist ganglion before any surgical intervention. It is safe, simple, cost effective method and is less invasive and less time consuming with recurrence rate comparable to surgical and arthroscopic interventions.

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Author Biography

Siddharth Gupta, Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, Delhi, India

Department of orthopaedics, CIO , VMMC And Safdarjung Hospital,

Senior Resident

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