64 Excision of Palmar Wrist Ganglion

• Brunner incision over mass (Fig. 64-1).
  
• Expose mass, usually in the interval between the flexor carpi radialis (FCR) tendon and the radial artery (Fig. 64-2).
  
• Identify the radial artery proximal to the mass. Dissect the radial artery away from the mass.
  
• Trace the mass and its stalk to its origin, usually the palmar wrist capsule.
  
• Excise the mass along with a small rectangle of palmar wrist joint capsule (Fig. 64-3A–C. C, capitate; R, raduis; L, lunate; S; scaphoid).
  
• Release the tourniquet and cauterize bleeding vessels. Pay particular attention to bleeding vessels coming from the radial artery.
  
• Close the skin and apply a bulky dressing with palmar splint.

Related posts:

Intra-articular Fractures of the Distal Radius Treated with Dorsal Plate Resect Ulnar Styloid Fracture with Repair of Triangular Fibrocartilage Complex Sauve-Kapandji Procedure Darrach Procedure (Distal Ulna Resection) Closed Reduction and Internal Fixation of Bennett’s or Rolando’s Fractures Capitate Shortening with Capitohamate Fusion

Stay updated, free articles. Join our Telegram channel

Join