The Journal of Bone and Joint Surgery 79:1591 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.
Correspondence
John DeWeese, M.D.,
Dempsey Springfield, M.D. and
Andrew Rosenberg, M.D.
TO THE EDITOR:
In their Editorial "Biopsy: Complicated and Risky" (78-A: 639643, May 1996), Springfield and Rosenberg stated: "We suggest that subcutaneous lesions ... should be evaluated with a computerized tomographic scan or a magnetic resonance image and either incisionally biopsied or widely excised." Taken literally, this injunction applies to all ganglia of the hand, wrist, and foot. Was this indeed the authors' intention? A magnetic resonance image of the hand or wrist at my institution costs about $950. Wide excision of most ganglia would impose considerable morbidity, and incisional biopsy would subject every patient to two operations. On the face of it, none of these measures seem to be cost-effective. There must be hundreds, . . . [Full Text of this Article]

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