Abstract
The authors analyzed the clinical results of surgical excision for symptomatic or
recurrent ganglion cysts of the foot and ankle, and tried to elucidate the prognostic
factors. Fifty-three cases of ganglions in the foot and ankle were followed for more
than 24 months after excision. The mean duration of follow-up was 3.7 years. As a
preceding treatment, 17 cases received a mean of 1.3 aspirations, and 16 cases recurred
after a mean of 1.7 operations. The cyst was most common in the dorsum of the foot
and ankle, where 35 cases were found. Thirty cases originated from the tendon sheath,
19 cases from the joint, and 4 cases from others. Preoperative mean AOFAS foot scores
were low in the cysts associated with the tarsal tunnel syndrome, and in the cysts
of the plantar aspect of the first toe. Postoperative mean AOFAS foot scores were
significantly increased in the preceding 2 groups. There were 3 (5.7%) cases of recurrence,
all of which originated from the tendon sheath. In the case of ganglion cysts originating
from the tendon sheath, careful attention should be paid to locate satellite masses
to avoid recurrence.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: July 22, 2010
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
