Comparative Study Of Recurrence And Complications Using Injection Sclerosant Triamcinolone Versus Hyaluronidase By Single Dart Technique In Treatment Of Wrist Ganglion Cysts –A Study Of 240 Patients

Ganglion Cysts are tense smooth fluctuant cystic and transilluminant swellings commonly found on dorsum of wrist at scapholunate articulation and may involve volar aspect of wrist, tendon sheaths and interphalangeal joints . Our study aims to compare efficacy and recurrence rates with triamcinolone and hyaluronidase using the single puncture technique . This prospective observational study was conducted to the cases who presented to our general surgery out patient department with ganglion cyst between april 2014 to august 2015. A total of 240 patients were included in this study .The difference in the recurrence rates after sclerotherapy for ganglion cysts is statistically significant between triamcinolone and hyaluronidase p <0.001 Using a single dart technique,Intralesional Triamcinolone for wrist ganglion cyst management is an excellent sclerotherapeutic agent . It has a very minimal side effects profile with low recurrence rates(25%),no complications like hypersentivity reactions and ulceration,as the risk of sclerosant injection outside cyst cavity is being tide-over. Hence, from the above study Intralesional injection of triamcinolone by the single-dart technique, is definately a simple, safe, cost-effective, convenient, less-invasive alternative to other contemporary sclerosants and surgical excision of wrist ganglion cysts.