Abstract
Introduction As the popularity of wrist arthroscopy grows, it continues to prove useful in the
treatment of ganglion cysts. Previous studies comparing an arthroscopic technique
to traditional open excision have demonstrated generally equivalent results regarding
complications and cyst recurrence. However, this systematic review compares the two
treatment methods not only regarding cyst recurrence but also regarding patient-centered
outcomes. Additionally, new studies in the available literature may allow for further
analysis.
Methods This systematic review identified 23 articles published between 2000 and 2021 that
met inclusion criteria. Articles were assessed for quality, and reported cyst recurrence
rates, patient satisfaction, patients' preoperative and postoperative pain, and complications
associated with either open or arthroscopic excisions were pooled into open excision
and arthroscopic excision groups for analysis.
Results In total, 23 studies accounted for 1,670 cases. Pooled data for patient-centered
outcomes indicated a significantly higher patient satisfaction rate (89.2 vs 85.6%,
p < 0.001) and higher reported pain relief (69.5 vs. 66.7%, p = 0.011) associated with arthroscopic excision versus open excision. Recurrence rates
were also significantly lower for the arthroscopic excision group (9.4 vs. 11.2%,
p < 0.001). Overall, the complication rate was significantly lower for arthroscopic
excision (7.5 vs. 10.7%, p < 0.001), but the complication profile distinctly differed between the two methods.
Conclusions Both arthroscopic and open excision of dorsal wrist ganglions are viable treatment
options. However, the results of this meta-analysis suggest benefits associated with
the arthroscopic technique in both patient-centered outcomes and in traditional, surgical
outcomes. This may prove advantageous as wrist arthroscopy becomes more common.
Keywords
arthroscopy - dorsal wrist ganglion - ganglion cyst - patient-centered outcomes
