CClinicalTrials.gg
TerminatedNCT04932122Updated Feb 11, 2026

Outcomes After Dorsal Wrist Ganglia Excision With or Without PIN

An interventional study of Dorsal wrist ganglion alone (DWG) and DWG/PIN in Wrist Ganglion, Ganglion Cysts and Hand Ganglion, sponsored by Kenneth Taylor, M.D.. Terminated at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-11.

Sponsored by Kenneth Taylor, M.D. · Not applicable, Interventional, and Treatment

Why this study was terminated
Study recruitment stopped due to recruitment problems
Phase
Not applicable
Study type
Interventional
Enrollment
3
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine if a statistical significance exists between outcomes of patients treated for dorsal wrist ganglion cyst with excision alone versus excision and the addition of a partial wrist denervation by resecting the common terminal sensory branch of the PIN (posterior interosseus nerve). Our hypothesis is that addition of PIN improves outcome after dorsal wrist ganglion excision as indicated by post-operative pain, function, ability to perform activities of daily living, and physical exam findings.

Read the detailed description

The primary endpoint will be outcomes on subject surveys and questionnaires. Data will be collected pre- and post-operatively at 2 weeks, 12 weeks, 6 months, and one year. Four questionnaires will be used, including the Visual Analog Pain Score (VAS), Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire, as well as the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference (PI), and the PROMIS Pain Behavior (PB) questionnaires.

Secondary outcomes include physical examination consisting of pre- and post-operative pinch and grip strength testing, and active range of motion including wrist flexion and extension ulnar and radial deviation, and weight bearing extension. These will be performed at 2 weeks, 12 weeks, and 6 months post-operatively.

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Conditions studied

  • Wrist Ganglion
  • Ganglion Cysts
  • Hand Ganglion
  • Denervation Atrophy

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Keywords

  • ganglion cysts
  • dorsal wrist ganglia
  • neurectomy
  • denervation
  • posterior interosseous nerve
03

In context

Ganglion Cysts

136 studies on the registry are indexed under Ganglion Cysts; 28 are open to participants now.

This study's enrollment of 3 is below the median of 60 across 101 interventional studies indexed under Ganglion Cysts.

Browse Ganglion Cysts studies →

Lead sponsor

Kenneth Taylor, M.D. is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Greater than or equal to 18 years of age
  • Gender: male/female (non-pregnant)
  • Diagnosis of symptomatic (pain and limited ability to perform activities of daily living) dorsal wrist ganglion cyst
  • Subjects who have chosen surgical management for their ganglion cyst diagnosis
  • Fluent in written and spoken English
  • Subject is able to provide voluntary, written informed consent
  • Subject, in the opinion of the clinical investigator, is able to understand the clinical investigation and is willing to perform all study procedures and follow-up visits
  • Non-Prisoners

Exclusion criteria

Exclusion Criteria:

  • Less than 18 years of age
  • Non-elective surgery for this diagnosis
  • Chronic wrist instability of the operative extremity
  • Comorbid neurologic maladies of the operative extremity
  • Prior wrist surgery on either extremity
  • Non-English speaking
  • Prisoners
  • Pregnancy
  • Cognitive Impairment
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
3 participants (actual)

Study arms

  • Active comparator
    Dorsal wrist ganglion alone (DWG)

    Dorsal wrist ganglion excision alone

    Procedure: Dorsal wrist ganglion alone (DWG)

  • Active comparator
    DWG with PIN

    Dorsal wrist ganglion excision with posterior interosseus neurectomy (PIN)

    Procedure: DWG/PIN

Interventions

  • ProcedureDorsal wrist ganglion alone (DWG)

    Patients assigned to this arm will undergo dorsal wrist ganglion cyst excision alone.

  • ProcedureDWG/PIN

    Patients assigned to this arm will undergo dorsal wrist ganglion excision and the addition of a partial wrist denervation by resecting the common terminal sensory branch of the posterior interosseus nerve (PIN)..

06

What researchers measure

Primary outcomes

  1. Pain measured with the Visual Analog Pain Scale (VAS)

    Self-report measurement that assesses a person's perceived level of pain

    Time frame: Preop to One Year Post-Op

  2. Physical Function measured with the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH)

    11-Item questionnaire that measures physical function and symptoms in people with musculoskeletal disorders of the upper limb

    Time frame: Preop to One Year Post-Op

  3. Pain interference measured with the Patient-Reported Outcomes Measurement Information (PROMIS) Pain Interference instrument

    This instrument measures the self-reported consequences of pain on relevant aspects of one's life and may include the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities.

    Time frame: Preop to One Year Post-Op

  4. Pain behavior measured with the Patient-Reported Outcomes Measurement Information (PROMIS) Pain Behavior instrument

    This instrument measures self-reported external manifestations of pain: behaviors that typically indicate to others that an individual is experiencing pain.

    Time frame: Preop to One Year Post-Op

Secondary outcomes

  1. Change in strength utilizing hand grip measurements

    This measurement provides information about muscle strength health in the hand and forearms. The average of three measurements is taken using a hand-held dynamometer

    Time frame: Preop to 6 Months Post-Op

  2. Change in strength utilizing finger lateral pinch measurements

    This measurement provides information about the functional strength of one's pinching action of the hand using a mechanical pinch gauge. The average of three measurements will be taken at each time frame.

    Time frame: Preop to 6 Months Post-Op

  3. Change in strength utilizing finger tip pinch measurements

    This measurement provides information about the functional strength of one's pinching action of the hand using a mechanical pinch gauge. The average of three measurements will be taken at each time frame.

    Time frame: Preop to 6 Months Post-Op

  4. Change in strength utilizing finger three-point pinch measurements

    This measurement provides information about the functional strength of one's pinching action of the hand using a mechanical pinch gauge. The average of three measurements will be taken at each time frame.

    Time frame: Preop to 6 Months Post-Op

  5. Change in wrist flexion

    This measurement indicates the range of motion of the wrist utilizing a goniometer

    Time frame: Preop to 6 Months Post-Op

  6. Change in wrist extension

    This measurement indicates the range of motion of the wrist utilizing a goniometer

    Time frame: Preop to 6 Months Post-Op

  7. Change in wrist weight bearing extension

    This measurement indicates the range of motion of the wrist utilizing a goniometer

    Time frame: Preop to 6 Months Post-Op

  8. Change in wrist ulnar deviation

    This measurement indicates the range of motion of the wrist from side to side. This movement flexes the hand toward the ulnar bone in the arm. This is measured with a goniometer.

    Time frame: Preop to 6 Months Post-Op

  9. Change in wrist radial deviation

    This measurement indicates the range of motion of the wrist from side to side. This movement flexes the hand toward the radial bone in the arm. This is measured with a goniometer.

    Time frame: Preop to 6 Months Post-Op

07

Study locations

2 sites
  • Penn State Health Medical Group - Camp Hill Specialties
    Camp Hill, Pennsylvania 17011, United States
  • Penn State Milton S. Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
08

References and documents

Publications

  • Ho PC, Griffiths J, Lo WN, Yen CH, Hung LK. Current treatment of ganglion of the wrist. Hand Surg. 2001 Jul;6(1):49-58. doi: 10.1142/s0218810401000540. PubMed 11677666 ↗
  • Thornburg LE. Ganglions of the hand and wrist. J Am Acad Orthop Surg. 1999 Jul-Aug;7(4):231-8. doi: 10.5435/00124635-199907000-00003. PubMed 10434077 ↗
  • Angelides AC, Wallace PF. The dorsal ganglion of the wrist: its pathogenesis, gross and microscopic anatomy, and surgical treatment. J Hand Surg Am. 1976 Nov;1(3):228-35. doi: 10.1016/s0363-5023(76)80042-1. PubMed 1018091 ↗
  • Clay NR, Clement DA. The treatment of dorsal wrist ganglia by radical excision. J Hand Surg Br. 1988 May;13(2):187-91. doi: 10.1016/0266-7681_88_90135-0. PubMed 3385297 ↗
  • Dellon AL, Seif SS. Anatomic dissections relating the posterior interosseous nerve to the carpus, and the etiology of dorsal wrist ganglion pain. J Hand Surg Am. 1978 Jul;3(4):326-32. doi: 10.1016/s0363-5023(78)80032-x. PubMed 681715 ↗
  • Carr D, Davis P. Distal posterior interosseous nerve syndrome. J Hand Surg Am. 1985 Nov;10(6 Pt 1):873-8. doi: 10.1016/s0363-5023(85)80165-9. PubMed 4078272 ↗
  • Dellon AL. Partial dorsal wrist denervation: resection of the distal posterior interosseous nerve. J Hand Surg Am. 1985 Jul;10(4):527-33. doi: 10.1016/s0363-5023(85)80077-0. PubMed 4020064 ↗
  • Faithfull DK, Seeto BG. The simple wrist ganglion--more than a minor surgical procedure? Hand Surg. 2000 Dec;5(2):139-43. doi: 10.1142/s0218810400000235. PubMed 11301508 ↗
  • Fukumoto K, Kojima T, Kinoshita Y, Koda M. An anatomic study of the innervation of the wrist joint and Wilhelm's technique for denervation. J Hand Surg Am. 1993 May;18(3):484-9. doi: 10.1016/0363-5023(93)90096-L. PubMed 8515020 ↗
  • Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996 Jun;29(6):602-8. doi: 10.1002/(SICI)1097-0274(199606)29:63.0.CO;2-L. PubMed 8773720 ↗
  • Chung KC, Pillsbury MS, Walters MR, Hayward RA. Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. J Hand Surg Am. 1998 Jul;23(4):575-87. doi: 10.1016/S0363-5023(98)80042-7. PubMed 9708370 ↗
  • Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83. PubMed 1593914 ↗
  • Szabo RM. Outcomes assessment in hand surgery: when are they meaningful? J Hand Surg Am. 2001 Nov;26(6):993-1002. doi: 10.1053/jhsu.2001.29487. PubMed 11721242 ↗
  • Gundes H, Cirpici Y, Sarlak A, Muezzinoglu S. Prognosis of wrist ganglion operations. Acta Orthop Belg. 2000 Oct;66(4):363-7. PubMed 11103488 ↗
  • BUTLER ED, HAMILL JP, SEIPEL RS, DE LORIMIER AA. Tumors of the hand. A ten-year survey and report of 437 cases. Am J Surg. 1960 Aug;100:293-302. doi: 10.1016/0002-9610(60)90302-0. No abstract available. PubMed 13806476 ↗
  • Gummesson C, Atroshi I, Ekdahl C. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery. BMC Musculoskelet Disord. 2003 Jun 16;4:11. doi: 10.1186/1471-2474-4-11. Epub 2003 Jun 16. PubMed 12809562 ↗
  • Weinstein LP, Berger RA. Analgesic benefit, functional outcome, and patient satisfaction after partial wrist denervation. J Hand Surg Am. 2002 Sep;27(5):833-9. doi: 10.1053/jhsu.2002.35302. PubMed 12239673 ↗
  • Dell P. Benign, Aggressive, and Malignant Neoplasms. Hand Surgery Update, American Society for Surgery of the Hand, 1999, pg. 377.
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04932122
Lead sponsor
Kenneth Taylor, M.D.
Responsible party
Kenneth Taylor, M.D. (Professor of Orthopaedics and Rehabilitation, Milton S. Hershey Medical Center) — Sponsor-investigator
First posted
Jun 18, 2021
Start date
Aug 7, 2023
Primary completion
Feb 3, 2026
Completion
Feb 3, 2026
Last update
Feb 11, 2026

Study contacts

Kenneth Taylor, MD
principal investigator · Penn State Health Milton S Hershey Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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