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Abstract
A series of 202 carpal ganglia in 195 patients (149 dorsal and 53 volar) is presented. In 24 the treatment was conservative and in 178 it was surgical. The operative technique is described. The longterm results are known in 90% of the cases. Of the ganglia for which conservative treatment was given one-half disappeared spontaneously, often within a few months. Of those for which an operation had been performed 85% gave no further trouble, while in 2% there was pain of obscure cause. At the follow-up examination recurrence was recorded in 9% of the cases, while in a further 4% there had probably been a re-appearance at some earlier time, but it had regressed without signs or symptoms. The total recurrence rate after operation was thus 13% (dorsal 12%, volar 15%). The discussion deals with the indications for surgical measures, a group of cases with no macroscopic ganglion, the age distribution for the various sites of the ganglia and the recurrence rate after initial and subsequent operations.