Visualization of the wrist ganglion capsule by methylene blue staining as an aid for complete resection in children

J Hand Surg Am. 2015 Apr;40(4):685-7. doi: 10.1016/j.jhsa.2015.01.015. Epub 2015 Mar 5.

Abstract

Purpose: To evaluate the effectiveness of methylene blue staining during ganglion resection in children, to assess ganglion resection and minimize recurrence.

Methods: From August 2007 to March 2011, 36 children with dorsal or volar wrist ganglions with an average size of 2 cm (range, 1-4 cm), including 5 recurrent cases, underwent resection performed with intraoperative methylene blue marking of the cyst wall.

Results: We found recurrence in one patient after 2 years; no obvious complications were observed in any patient.

Conclusions: Methylene blue staining of the ganglion during resection may be helpful for achieving complete resection.

Type of study/level of evidence: Therapeutic II.

Keywords: Methylene; ganglion recurrence; wrist ganglions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Arthroscopy* / methods
  • Child
  • Child, Preschool
  • Female
  • Ganglion Cysts / surgery*
  • Humans
  • Injections
  • Male
  • Methylene Blue / administration & dosage
  • Staining and Labeling
  • Wrist Joint / surgery*

Substances

  • Methylene Blue