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Ganglion Cyst Workup

  • Author: Renee Genova, MD; Chief Editor: Harris Gellman, MD  more...
 
Updated: Jul 07, 2016
 

Imaging Studies

Although a plain radiograph will provide visualization of the cyst, it can identify bony abnormalities that may be causing the symptoms or may contraindicate treatment. In older adults, degenerative joint disease may accompany the cyst at the scaphotrapeziotrapezoid joint and can be confirmed by the plain radiograph. Magnetic resonance imaging, ultrasonography, or arthroscopic imaging may prove useful in obtaining confirmation of clinical diagnostic findings.[2, 5, 12]

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Other Tests

An Allen test should be performed when cysts are located near the radial artery, including most volar wrist ganglia. Ultrasonography is an inexpensive and noninvasive method of assessing the soft tissue.

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Contributor Information and Disclosures
Author

Renee Genova, MD University of South Carolina School of Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

John J Walsh, IV, MD Professor and Chairman, Department of Orthopedic Surgery, University of South Carolina School of Medicine

John J Walsh, IV, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Christian Medical and Dental Associations, American Society for Surgery of the Hand

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Thomas R Hunt III, MD Professor and Chairman, Joseph Barnhart Department of Orthopedic Surgery, Baylor College of Medicine

Thomas R Hunt III, MD is a member of the following medical societies: American Orthopaedic Association, American Orthopaedic Society for Sports Medicine, Southern Orthopaedic Association, AO Foundation, American Academy of Orthopaedic Surgeons, American Association for Hand Surgery, American Society for Surgery of the Hand, Mid-America Orthopaedic Association

Disclosure: Received royalty from Tornier for independent contractor; Received ownership interest from Tornier for none; Received royalty from Lippincott for independent contractor.

Chief Editor

Harris Gellman, MD Consulting Surgeon, Broward Hand Center; Voluntary Clinical Professor of Orthopedic Surgery and Plastic Surgery, Departments of Orthopedic Surgery and Surgery, University of Miami, Leonard M Miller School of Medicine, Clinical Professor, Surgery, Nova Southeastern School of Medicine

Harris Gellman, MD is a member of the following medical societies: American Academy of Medical Acupuncture, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Surgery of the Hand, Arkansas Medical Society

Disclosure: Nothing to disclose.

Additional Contributors

Peter M Murray, MD Professor and Chair, Department of Orthopedic Surgery, Mayo Clinic College of Medicine; Director of Education, Mayo Foundation for Medical Education and Research, Jacksonville; Consultant, Department of Orthopedic Surgery, Mayo Clinic, Jacksonville; Consulting Staff, Nemours Children's Clinic and Wolfson's Children's Hospital

Peter M Murray, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Society for Reconstructive Microsurgery, Orthopaedic Research Society, Society of Military Orthopaedic Surgeons, American Association for Hand Surgery, American Society for Surgery of the Hand, Florida Medical Association

Disclosure: Nothing to disclose.

Acknowledgements

Gordon Derman, MD Associate Director, Hand and Upper Extremity Surgery, Assistant Professor, Department of Plastic and Reconstructive Surgery, Rush University Medical Center

Disclosure: Nothing to disclose.

George J Kouris, MD Senior Fellow, Department of Plastic and Reconstructive Surgery, Rush-Presbyterian-St Luke's Medical Center

Disclosure: Nothing to disclose.

References
  1. Lin SJ, Dumanian GA. Benign hand tumors. Medscape Drugs & Diseases. Available at http://emedicine.medscape.com/article/1286448-overview. March 9, 2015; Accessed: July 6, 2016.

  2. Thornburg LE. Ganglions of the hand and wrist. J Am Acad Orthop Surg. 1999 Jul-Aug. 7(4):231-8. [Medline].

  3. Soren A. Pathogenesis and treatment of ganglion. Clin Orthop Relat Res. 1966 Sep-Oct. 48:173-9. [Medline].

  4. Chloros GD, Wiesler ER, Poehling GG. Current concepts in wrist arthroscopy. Arthroscopy. 2008 Mar. 24(3):343-54. [Medline].

  5. Plate AM, Lee SJ, Steiner G, Posner MA. Tumorlike lesions and benign tumors of the hand and wrist. J Am Acad Orthop Surg. 2003 Mar-Apr. 11(2):129-41. [Medline].

  6. Okada K, Miyake J, Kataoka T, Moritomo H, Murase T, Yoshikawa H. Median nerve neuropathy in the forearm due to recurrence of anterior wrist ganglion that originates from the scaphotrapezial joint: a case report. J Brachial Plex Peripher Nerve Inj. 2012 Jan 19. 7(1):1. [Medline].

  7. Kwak KW, Kim MS, Chang CH, Kim SH. Ulnar Nerve Compression in Guyon's Canal by Ganglion Cyst. J Korean Neurosurg Soc. 2011 Feb. 49(2):139-41. [Medline]. [Full Text].

  8. Edwards SG, Johansen JA. Prospective outcomes and associations of wrist ganglion cysts resected arthroscopically. J Hand Surg Am. 2009 Mar. 34(3):395-400. [Medline].

  9. Rocchi L, Canal A, Fanfani F, Catalano F. Articular ganglia of the volar aspect of the wrist: arthroscopic resection compared with open excision. A prospective randomised study. Scand J Plast Reconstr Surg Hand Surg. 2008. 42(5):253-9. [Medline].

  10. Rizzo M, Berger RA, Steinmann SP, Bishop AT. Arthroscopic resection in the management of dorsal wrist ganglions: results with a minimum 2-year follow-up period. J Hand Surg Am. 2004 Jan. 29(1):59-62. [Medline].

  11. Sanders WE. The occult dorsal carpal ganglion. J Hand Surg [Br]. 1985 Jun. 10(2):257-60. [Medline].

  12. Wang G, Jacobson JA, Feng FY, Girish G, Caoili EM, Brandon C. Sonography of wrist ganglion cysts: variable and noncystic appearances. J Ultrasound Med. 2007 Oct. 26(10):1323-8; quiz 1330-1. [Medline].

  13. Ju BL, Weber KL, Khoury V. Ultrasound-Guided Therapy for Knee and Foot Ganglion Cysts. J Foot Ankle Surg. 2016 Jun 4. [Medline].

  14. Kim KM, Kang EY, Lee SH, Jung AY, Nam DH, Cheon JH. Therapeutic approach of wrist ganglion using electroacupuncture: two case reports. Ann Rehabil Med. 2014 Jun. 38(3):415-20. [Medline]. [Full Text].

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Typical appearance of dorsal ganglion cyst.
Recurrent multilobulated left volar ganglion cyst.
Transillumination of recurrent multilobulated left volar ganglion cyst.
Mucous cyst on the radial side of the right long finger.
Retinacular ganglion.
Volar cyst from pisotriquetral joint.
Lumen of pisotriquetral cyst.
Mucous cyst at DIP joint.
Transilluminated mucous cyst.
 
 
 
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