Wrist
Ganglion Cyst
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Ganglion Cyst
Epidemiology
Most common
Soft Tissue Mass
in hand
Adults affected most commonly
Young children may be affected
Subsides by age 2 to 3 years in most cases
Pathophysiology
Cyst
contains mucinous material
Stalk attaches cyst to tendon sheath or joint
Symptoms
Freely movable mass over joint or tendon
Local pain or weakness
Occult Ganglion Cyst may cause dorsal
Wrist Pain
Ganglion
may be hidden by overlying extensor tendon
Dorsal wrist most commonly affected
Signs
Ganglion Cyst on wrist dorsum
Ganglion Cyst more prominent with wrist flexed
Management
Ganglion Cyst Aspiration
Compression dressing applied for 48 to 72 hours
Consider
Splinting
wrist for several days
Indications for Surgical excision of Ganglion Cyst
Symptoms persist
Despite aspiration and steroid injection 1 to 2 times
Course
Spontaneous resolution without treatment: 53%
Recurrence within 2 to 5 years after treatment
Recurrence after surgical excision: 42%
Recurrence after aspiration: 47%
References
Dias (2003) J Hand Surg 28:172-6 [PubMed]
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