Pediatric Ganglion Cyst Recurrence: Location Isn’t the Only Risk Factor
| Autor: | Megan Mooney, Cale A. Jacobs, Vincent W Prusick, Scott Riley |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Wrist Risk Assessment 03 medical and health sciences Postoperative Complications 0302 clinical medicine Recurrence Risk Factors medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Cyst Risk factor Child Retrospective Studies Ultrasonography Ganglion Cysts 030222 orthopedics business.industry Dissection Ultrasound Retrospective cohort study General Medicine Odds ratio Hand Prognosis medicine.disease Confidence interval Surgery Ganglion cyst medicine.anatomical_structure Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of Pediatric Orthopaedics. 40:340-343 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0000000000001517 |
| Popis: | INTRODUCTION Ganglion cysts represent the most common benign soft-tissue masses of the hand and wrist, most are treated nonoperatively, with relatively few local recurrences. Few studies have identified risk factors for recurrence in the pediatric population. The aim of this study is to identify risks of cyst recurrence and to establish if ultrasonographic imaging aids in the prediction of recurrence. METHODS A single-center retrospective chart review was performed, identifying patients diagnosed with a ganglion cyst of the hand or wrist. Demographic information, cyst characteristics, and ultrasound examination reports were documented. Standard statistical and logistic regression analyses were performed. RESULTS A total of 132 cysts were identified in 126 patients and the average age was 8.5 years old. The most common location was the dorsal wrist (57/132, 43.2%). There were 14 recurrences [11/14, (79%) dorsal wrist, 3/14 (21%) volar wrist, 0/14 (0%) in nonwrist locations]. The risk of recurrence was significantly greater for dorsal wrist cysts than nonwrist locations (odds ratio=18.1; 95% confidence interval: 1.02, 316.65; P=0.048); there was no statistical difference in recurrence rates between dorsal and volar cysts (P=0.15). Recurrence was noted in older patients (12.2 vs. 8.1 y, P |
| Databáze: | OpenAIRE |
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