Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline Solution
Abstract Objective To evaluate the efficacy of hypertonic saline infiltration as a sclerosing agent in the dorsal synovial cyst of the wrist. Method Patients of both genders, aged 18 years or older, with clinical and ultrasound diagnosis of synovial cyst, and without any previous treatment were se...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2023-05-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100108&tlng=en |
| _version_ | 1797328104201388032 |
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| author | Murilo Gobetti João Baptista Gomes dos Santos Fernando Araujo Pires Luis Renato Nakachima João Carlos Belloti Flavio Faloppa |
| author_facet | Murilo Gobetti João Baptista Gomes dos Santos Fernando Araujo Pires Luis Renato Nakachima João Carlos Belloti Flavio Faloppa |
| author_sort | Murilo Gobetti |
| collection | DOAJ |
| description | Abstract Objective To evaluate the efficacy of hypertonic saline infiltration as a sclerosing agent in the dorsal synovial cyst of the wrist. Method Patients of both genders, aged 18 years or older, with clinical and ultrasound diagnosis of synovial cyst, and without any previous treatment were selected. Case series in which 50 patients underwent aspiration of the contents of the cyst and infiltration of the hypertonic saline solution (2 ml sodium chloride solution 20% and 1 ml of lidocaine 2%). The patients were followed up for 24 weeks, when the parameters pain, strength, range of motion, function (quickDASH and Brief Michigan question), recurrence, and complications were evaluated. Results A total of 46 patients were evaluated for 24 weeks, 18 (39.1%) cysts evolved to resolution, and 28 (60.9%) presented recurrence. There was no statistically significant difference in the effect force or in the range of motion. There was no clinically significant difference in the scores of the questionnaires. The most frequent complications were pain and edema. Conclusion Infiltration with hypertonic saline solution for the treatment of dorsal synovial cyst of the wrist showed a recurrence rate of 60.9%. |
| first_indexed | 2024-03-08T06:47:09Z |
| format | Article |
| id | doaj.art-6d01b6a177d041f3b126de3e7dd261a3 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T06:47:09Z |
| publishDate | 2023-05-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-6d01b6a177d041f3b126de3e7dd261a32024-02-03T07:34:10ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782023-05-0158110811310.1055/s-0041-1740294Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline SolutionMurilo Gobettihttps://orcid.org/0000-0002-7009-129XJoão Baptista Gomes dos Santoshttps://orcid.org/0000-0003-0199-6578Fernando Araujo Pireshttps://orcid.org/0000-0002-1556-0495Luis Renato Nakachimahttps://orcid.org/0000-0003-1901-9820João Carlos Bellotihttps://orcid.org/0000-0003-3396-479XFlavio Faloppahttps://orcid.org/0000-0003-3688-8729Abstract Objective To evaluate the efficacy of hypertonic saline infiltration as a sclerosing agent in the dorsal synovial cyst of the wrist. Method Patients of both genders, aged 18 years or older, with clinical and ultrasound diagnosis of synovial cyst, and without any previous treatment were selected. Case series in which 50 patients underwent aspiration of the contents of the cyst and infiltration of the hypertonic saline solution (2 ml sodium chloride solution 20% and 1 ml of lidocaine 2%). The patients were followed up for 24 weeks, when the parameters pain, strength, range of motion, function (quickDASH and Brief Michigan question), recurrence, and complications were evaluated. Results A total of 46 patients were evaluated for 24 weeks, 18 (39.1%) cysts evolved to resolution, and 28 (60.9%) presented recurrence. There was no statistically significant difference in the effect force or in the range of motion. There was no clinically significant difference in the scores of the questionnaires. The most frequent complications were pain and edema. Conclusion Infiltration with hypertonic saline solution for the treatment of dorsal synovial cyst of the wrist showed a recurrence rate of 60.9%.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100108&tlng=ensclerotherapysynovial cystserumconservative treatment |
| spellingShingle | Murilo Gobetti João Baptista Gomes dos Santos Fernando Araujo Pires Luis Renato Nakachima João Carlos Belloti Flavio Faloppa Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline Solution Revista Brasileira de Ortopedia sclerotherapy synovial cyst serum conservative treatment |
| title | Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline Solution |
| title_full | Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline Solution |
| title_fullStr | Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline Solution |
| title_full_unstemmed | Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline Solution |
| title_short | Treatment of Wrist Dorsal Synovial Cyst with Percutaneous Sclerotherapy Using Hypertonic Saline Solution |
| title_sort | treatment of wrist dorsal synovial cyst with percutaneous sclerotherapy using hypertonic saline solution |
| topic | sclerotherapy synovial cyst serum conservative treatment |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100108&tlng=en |
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