AUTHOR=Chen Bo , Wang Leining , Liang Kejiong , Wang Bing , Jiang Shuai , Shi Haifei 

TITLE=Treatment of dorsal wrist ganglion cyst by establishing midcarpal volar portal using the “Kiss-in” method

JOURNAL=Frontiers in Surgery

VOLUME=Volume 9 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.944396

DOI=10.3389/fsurg.2022.944396

ISSN=2296-875X

ABSTRACT=Introduction: This paper introduces the treatment and clinical outcome of the dorsal wrist ganglion cyst utilizing the Kiss-in method to establish the midcarpal volar portal.
Materials and Methods: Patients with dorsal ganglia of the wrist (n = 12, 6 females, 6 males) underwent arthroscopic surgery using the Kiss-in method at our hospital between September 2018 and January 2021. All patients underwent pre-operative radiological investigations, such as magnetic resonance imaging (MRI; 12 cases) and/or ultrasonography (12 cases). The mean patients’ age was 30.7 years (range: 19–46 years). The time lost from work, the wrist motion and strength, the presence of scarring, residual symptoms, complications, and recurrence were recorded at a mean follow-up of 10 months.
 Results: Eleven patients showed a good prognosis with active motion recovery. One patient showed the recurrence of ganglion, and the second arthroscopic resection was performed 5 months after the first surgery for this patient. After the surgery, the patient fully recovered.
Conclusions: The establishment of the midcarpal volar portal by the Kiss-in method is safe. The dorsal ganglion cyst resection through the established midcarpal volar portal is a promising approach, allowing the better visualization and broader range motion of the arthroscope.