Evidence map›Paper›PMID 41148325›Full record

ArticleSkeletal radiology2026

Percutaneous ultrasound-guided fenestration of ganglia in the wrist in pediatric patients: An update.

Samuel X Ramirez, Meera K Namireddy, Stuart D Ferrell, Matthew G Ditzler, Erica K Schallert, Esther Ngan, Bryce Bell, J Herman Kan

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Article in Skeletal radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Samuel X RamirezDivision of Orthopedic Surgery, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin St., Houston, TX, 77030, USA.ORCID http://orcid.org/0009-0003-3246-394X
Meera K NamireddyDepartment of Radiology, University of California San Diego, San Diego, CA, USA.
Stuart D FerrellDivision of Orthopedic Surgery, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin St., Houston, TX, 77030, USA.
Matthew G DitzlerDepartment of Radiology, Scottish Rite for Children, Dallas, TX, USA.
Erica K SchallertDivision of Pediatric Radiology, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Esther NganEdward B. Singleton Department of Radiology, Division of Body Imaging, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
Bryce BellDivision of Orthopedic Surgery, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin St., Houston, TX, 77030, USA.
J Herman KanDepartment of Radiology, Scottish Rite for Children, Dallas, TX, USA. J.Kan@tsrh.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePercutaneous ultrasound-guided fenestration of ganglia (PUGG) in children has been a first line treatment option at our institution in lieu of surgical resection. The purpose of our study is to report our efficacy and safety of PUGG in symptomatic pediatric wrist ganglia, and to determine if any pre-procedural ultrasound findings help predict ganglia recurrence. MATERIALS AND

methodsA retrospective study of children who underwent PUGG of the wrist from May 2023 through November 2024 at an academic children's hospital was performed. Patients were excluded if the ganglion was ruptured on pre-PUGG imaging and were

resultsThere were 105 children (mean age (years):14.1 + / - 3.0 (4-18)) who underwent successful PUGG with 97.1% performed without sedation. Of these, 70 patients had optional clinical follow-up. Recurrence for the total population was 26.7% (28/105), and subset analysis for those patients with optional clinical follow-up was 40.0% (28/70). Ganglion symptom duration, ganglion size, presence of septations, internal debris, PUGG needle size, and steroid dosage did not statistically predict recurrence. Temporary numbness (2.9%) and site pain (7.6%) were the most common complications, and no children reported cosmetic scarring of the wrist.

conclusionPUGG is a safe, minimally invasive procedure to treat symptomatic pediatric wrist ganglia. With appropriate patient selection, PUGG can serve as a valuable first-line elective therapeutic treatment for wrist ganglia.

Indexed as

Ganglion CystsUltrasonography, InterventionalWristAdolescentChildChild, PreschoolFemaleHumansMaleRecurrenceRetrospective StudiesTreatment OutcomeFenestrationGanglionInterventionalPediatricUltrasound

Identifiers

PMID41148325

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