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Overall patient satisfaction with this procedure has been excellent. Immediate postoperative pain seems to be less than that experienced by those who have undergone open proximal row carpectomy. In our experience, all patients reported satisfactory pain relief, functional wrist motion, and effective grip strength.

If the excision of the dorsal synovial cyst of the wrist has become a routine practice, arthroscopic resection of palmar synovial cysts of the wrist appears to be a reliable and elegant solution, particularly as standard surgical resection is not exempt from complications. The description of palmar cyst resection technique was described by Mathoulin in Paris^7 and Ho in Hong Kong. In 2003, Ho reported his experience of six palmar ganglions resected using arthroscopy with simple postoperative follow-up and no recurrences.^8 It is a sure and easy technique that allows a satisfactory resection of the cyst and the adjoining joint capsule, provided that the limits of the cyst are located accurately. The satisfaction level of the patients is very high, helped by the fact that there are no cutaneous sutures and no wrist immobilization.