Ganglion cyst
| Ganglion cyst | |
|---|---|
| Other names | Ganglia, synovial cyst,[1] Gideon's disease, Olamide's cyst, Bible cyst, Bible bump[2] |
| Cyst on dorsum of left hand close to the wrist | |
| Specialty | Plastic surgery, orthopedic surgery, hand surgery |
| Symptoms | Small soft bump associated with a joint or tendon sheath[3] |
| Complications | Only with operative treatment |
| Usual onset | Any age |
| Diagnostic method | Typically based on signs[4] |
| Differential diagnosis | Lipoma, extensor tenosynovitis[4] |
| Treatment | Watchful waiting, splinting the affected joint, needle aspiration, surgery[3] |
| Prognosis | Not serious[3] |
| Frequency | ~3 per 10,000 per year (wrist and hand)[5] |
A ganglion cyst is a fluid-filled bump associated with a joint or tendon sheath.[3] It most often occurs at the back of the wrist, followed by the front of the wrist.[3][4]
The cause is unknown.[3] The underlying mechanism is believed to involve an outpouching of the synovial membrane.[4] Diagnosis is typically based on examination. The ability to shine through the bump or any past decrease in size supports the diagnosis of the bump as a ganglion cyst.[4] Ganglion cysts are usually obvious upon observation. Medical imaging may be considered on infrequent occasions to rule out another diagnosis.[3][4]
Treatment is not necessary. Options for treatment include needle aspiration or surgery.[3] About half the time, they resolve on their own.[4] About three per 10,000 people newly develop ganglion of the wrist or hand a year.[5]
- ^ "Ganglion Cyst". Medical Subject Headings (MeSH). National Library of Medicine. Archived from the original on March 10, 2016. Retrieved August 27, 2013.
- ^ "E-hand.com The Electronic Textbook of Hand Surgery". The American Society for Surgery of the Hand assh.com. Archived from the original on March 9, 2014. Retrieved April 12, 2014.
- ^ a b c d e f g h "Ganglion Cyst of the Wrist and Hand-OrthoInfo". orthoinfo.aaos.org. March 2013. Archived from the original on 6 July 2017. Retrieved 10 June 2017.
- ^ a b c d e f g Ferri FF (2014). "Ganglia". Ferri's Clinical Advisor 2015 E-Book: 5 Books in 1. Elsevier Health Sciences. p. 472. ISBN 978-0-323-08430-7.
- ^ a b Murray PM (2011). "57. Ganglion Cysts of the Wrist". In Cooney WP (ed.). The Wrist: Diagnosis and Operative Treatment. Lippincott Williams & Wilkins. p. 1089. ISBN 978-1-4511-4826-8.