Ganglion cyst: Difference between revisions
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*Cystic collection of synovial fluid within a joint or tendon sheath | *Cystic collection of synovial fluid within a joint or tendon sheath | ||
*~33% resolve spontaneously | *~33% resolve spontaneously | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Ganglion-cyst.jpg|thumb|Ganglion cyst on posterior wrist.]] | |||
[[File:Cyst Profile2.jpg|thumb|Ganglion cyst on anterior wrist.]] | |||
*May appear quickly, recede, change in size | *May appear quickly, recede, change in size | ||
*Most are not painful | *Most are not painful | ||
| Line 15: | Line 15: | ||
==Evaluation== | ==Evaluation== | ||
*Generally clinical diagnosis | *Generally clinical diagnosis | ||
**[[Ultrasound: Soft tissue|Ultrasound]] may be useful in equivocal cases | **[[Ultrasound: Soft tissue|Ultrasound]] may be useful in equivocal cases (shows a fluid filled structure) | ||
==Management== | ==Management== | ||
Latest revision as of 19:00, 29 January 2025
Background
- Cystic collection of synovial fluid within a joint or tendon sheath
- ~33% resolve spontaneously
Clinical Features
- May appear quickly, recede, change in size
- Most are not painful
- Interference with function, poor cosmetics, and pain may require routine referral to hand surgeon
Differential Diagnosis
Hand and finger injuries
- Distal finger
- Other finger/thumb
- Boutonniere deformity
- Mallet finger
- Jammed finger
- Jersey finger
- Trigger finger
- Ring avulsion injury
- De Quervain tenosynovitis
- Infiltrative tenosynovitis
- Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb)
- Hand
- Wrist
- Drummer's wrist
- Ganglion cyst
- Lunotriquetral ligament instability
- Scaphoid fracture
- Extensor digitorum tenosynovitis
- Compressive neuropathy ("bracelet syndrome")
- Intersection syndrome
- Snapping Extensor Carpi Ulnaris
- Vaughn Jackson syndrome
- General
Evaluation
- Generally clinical diagnosis
- Ultrasound may be useful in equivocal cases (shows a fluid filled structure)
Management
- NSAIDs
- Refer to hand surgeon for persistent or recurrent pain or cosmetic deformity
Disposition
- Discharge