WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Saad Abdulsalam Fathi, Mohammed Hameed Sulaiman and Omar Farooq Khaleel

ABSTRACT

Background:Ganglions are frequent tumor like conditions that affect the hand and wrist. Ganglions usually startin the joint capsule or tendon sheath and are they are made of mucinous material and compressed s troma.Although it can grow in any joint, the wrist is where it is most frequently noticed. Under local anesthetic, surgicalexcision removes the entire cyst, offering an effective solution but with significant hazards. Conversely, steroidinjections are a less invasive and risk free choice because its lower inflammation and alleviate symptoms.Objectives: Is to compared the outcomes of the surgical excision to steroid injection in the treatment of ganglioncysts. Methods: The study is a prospective interventional study conducted at Al Salam Teaching Hospital in Mosul-Iraq between March 2022 and November 2024. The study questionnaire was divided into three parts. The first section provides demographic of the study participants. The second part covers patients’ main complaints. The third part covers treatment outcomes of the study’s patients. Results : The study included 50 patients withconfirmed clinical diagnosis of ganglion, of them 21 (42%) were males and 29 (58%) were females. With male tofemale ratio 1: 1.38. The mean age ± standard deviation of the study participants is 27.12 ± 16.61 years. It’sevident that the majority of patients enrolled in the study are belonged to the age category of 20 25 years and 3035 years. All of the study’s patients (100%) a re suffering from swelling, while pain and discomfort are thecompl aint for 42 (84%) patients, half (50%) of the study’ patient had cosmetic problem, 21 (42%) patients hadapprehension from tumor and 7 (14%) patients had limitation of movement. Statistically significant difference wasfound between patient whose received surgery and those treated by steroid injection regarding cosmetic value (Pvalue <0.001), while no statistically significant difference found between the study groups regarding pain relief,success of removal, recurrent rate (P value >0.05) for all. Conclu sion: The main factor influencing the decision tohave surgery for a wrist ganglion was its cosmetic aspect. Comparing aspiration and steroid injection to surgicaltherapy, the pain relief, recurrence rate, was not statistically significant.