Operative Treatment for Ganglion Cysts of the Foot and Ankle

Abstract The authors analyzed the clinical results of surgical excision for symptomatic or recurrent ganglion cysts of the foot and ankle, and tried to elucidate the prognostic factors. Fifty-three cases of ganglions in the foot and ankle were followed for more than 24 months after excision. The mea...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2010-09, Vol.49 (5), p.442-445
Main Authors: Ahn, Jae Hoon, MD, Choy, Won-Sik, MD, Kim, Ha-Yong, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Child
Diseases of the osteoarticular system
excision
Female
Follow-Up Studies
foot
Foot Diseases - surgery
ganglion
Ganglion Cysts - surgery
Humans
Juxtaarticular diseases. Extraarticular rhumatism
Male
Medical sciences
Middle Aged
Orthopedics
Postoperative Complications
Recurrence
Retrospective Studies
Suction
Young Adult
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Summary:Abstract The authors analyzed the clinical results of surgical excision for symptomatic or recurrent ganglion cysts of the foot and ankle, and tried to elucidate the prognostic factors. Fifty-three cases of ganglions in the foot and ankle were followed for more than 24 months after excision. The mean duration of follow-up was 3.7 years. As a preceding treatment, 17 cases received a mean of 1.3 aspirations, and 16 cases recurred after a mean of 1.7 operations. The cyst was most common in the dorsum of the foot and ankle, where 35 cases were found. Thirty cases originated from the tendon sheath, 19 cases from the joint, and 4 cases from others. Preoperative mean AOFAS foot scores were low in the cysts associated with the tarsal tunnel syndrome, and in the cysts of the plantar aspect of the first toe. Postoperative mean AOFAS foot scores were significantly increased in the preceding 2 groups. There were 3 (5.7%) cases of recurrence, all of which originated from the tendon sheath. In the case of ganglion cysts originating from the tendon sheath, careful attention should be paid to locate satellite masses to avoid recurrence.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2010.06.006