دورية أكاديمية
Natural History of Pediatric Hand and Wrist Ganglion Cysts: Longitudinal Follow-Up of a Prospective, Dual-Center Cohort.
| العنوان: | Natural History of Pediatric Hand and Wrist Ganglion Cysts: Longitudinal Follow-Up of a Prospective, Dual-Center Cohort. |
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| المؤلفون: | Dearden ME; Walter Reed National Military Medical Center, Bethesda, MD., Belardo ZE; The Children's Hospital of Philadelphia, Philadelphia, PA., Chang B; The Children's Hospital of Philadelphia, Philadelphia, PA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA., Ty JM; Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE., Lin IC; The Children's Hospital of Philadelphia, Philadelphia, PA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA., Hoxha M; The Children's Hospital of Philadelphia, Philadelphia, PA., Shah AS; The Children's Hospital of Philadelphia, Philadelphia, PA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: shaha6@email.chop.edu. |
| المصدر: | The Journal of hand surgery [J Hand Surg Am] 2023 Oct; Vol. 48 (10), pp. 1018-1024. Date of Electronic Publication: 2023 Aug 18. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 7609631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-6564 (Electronic) Linking ISSN: 03635023 NLM ISO Abbreviation: J Hand Surg Am Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Original Publication: St. Louis, Mosby. |
| مواضيع طبية MeSH: | Ganglion Cysts*/surgery, Humans ; Child ; Male ; Female ; Wrist/surgery ; Follow-Up Studies ; Prospective Studies ; Hand |
| مستخلص: | Purpose: This investigation describes the outcomes of pediatric ganglion cysts in a prospective cohort that elected not to undergo cyst aspiration or surgical treatment. Our primary aim was to investigate the rate of spontaneous resolution over time among the subset of patients who did not undergo specific treatments. Methods: Children (aged ≤18 years) who presented to the clinic with ganglion cysts of the hand or wrist were enrolled in a prospective two-center registry between 2017 and 2021. Enrolled subjects who never elected to undergo cyst aspiration or surgical treatment were analyzed. The data collected included age, sex, cyst location and laterality, hand dominance, Wong-Baker pain scale scores, and Patient-Reported Outcome Measurement Information System upper-extremity scores. Follow-up surveys were completed for up to 5 years. Results: A total of 157 cysts in 154 children, with an average age of 9.4 years and a female-to-male ratio of 1.4:1, were eligible. The most common ganglion location was dorsal wrist (67/157, 42.7%), followed by volar wrist (49/157, 31.2%), the flexor tendon sheath (29/157, 18.5%), and the extensor tendon synovial lining (8/157, 5.1%). The average follow-up duration was 2.5 years after initial presentation to the clinic, and 63.1% (99/157) of the patients responded to follow-up surveys. Among them, 62.6% (62/99) of cysts spontaneously resolved; the resolution rates ranged from 51.9% of volar wrist ganglions to 81% of flexor tendon sheath cysts, with an average time to resolution of 14.1 months after cyst presentation. Cysts were more likely to resolve in the hand than in the wrist (84.0% vs 55.4%, respectively). Cysts present for >12 months at initial evaluation were less likely to resolve spontaneously (41.2% vs 67.1%). Conclusions: Of children who elected not to undergo aspiration or surgical treatment, approximately two-thirds of families reported that their child's ganglion cyst resolved spontaneously. Cysts that resolve spontaneously usually do so within 2 years of presentation. Type of Study/level of Evidence: Therapeutic IV. (Copyright © 2023. Published by Elsevier Inc.) |
| فهرسة مساهمة: | Keywords: Ganglion; ganglion cyst; natural history; pediatric; retinacular |
| تواريخ الأحداث: | Date Created: 20230820 Date Completed: 20231006 Latest Revision: 20231006 |
| رمز التحديث: | 20231006 |
| DOI: | 10.1016/j.jhsa.2023.07.002 |
| PMID: | 37598325 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1531-6564 |
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| DOI: | 10.1016/j.jhsa.2023.07.002 |