| Summary: | INTRODUCTION: The purpose of the study was to compare the clinical results and recurrence rates of the patients who received ultrasound (USG) guided aspiration and open surgical excision for wrist ganglion cysts. METHODS: The 46 patients who received US-guided aspiration and open surgical excision for wrist ganglion cysts between January 2019 and January 2021 were selected. Patients were divided into two according to choice of treatment. The patients who received aspiration were called Group A (n=22), and the patients who received surgery were called Group S (n=24). Patient characteristics were recorded from the patient files. At the last follow-up, recurrences were recorded, and the functional status of the patients was questioned by the Disabilities of the Arm, Shoulder, and Hand (DASH) Score. Complications other than recurrence were also analyzed. RESULTS: A total of 46 patients (31 female, 15 male) were included in the study with a mean age of 33.6 +- 11.9. The mean quick DASH score was 11.25 +- 2.90 in Group S and 11.90 +- 2.70 in Group A (p=0.301). The clinical results were similar between the two groups; however, the recurrence rate was significantly higher in Group A (12.5% vs. 45.45%, p=0.021). The recurrence did not affect functional outcomes (p=0.711). DISCUSSION AND CONCLUSION: The recurrence rates were higher in the aspiration group, but this difference did not cause a difference in functional status. As a result, us-guided cyst aspiration can be used as an alternative method to surgery.
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