Q: What is the best treatment for wrist ganglion cysts? Evidence-based answer: Open surgical excision of wrist ganglion cysts is associated with a lower recurrence rate than aspiration with or without corticosteroid injection (strength of recommendation [SOR]: B, systematic review of randomized clinical trials [RCTs] and observational trials and RCT). Even though the recurrence rate with aspiration is about 50%, most patients are satisfied with aspiration and report a decrease in symptoms involving pain, function, and range of motion (SOR: B, individual cohort and case series).Corey Lyon, DO; Stephanie V. Eldred, MD (University of Colorado Family Medicine Residency, Denver); Kristen DeSanto, MSLS, MS, RD, AHIP (University of Colorado Health Sciences Library, Denver)Includes bibliographical reference
