Difference between revisions of "Ganglion cyst"
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| + | ==Background== | ||
| + | *Cystic collection of synovial fluid within a joint or tendon sheath | ||
| + | *~33% resolve spontaneously | ||
| + | [[File:Ganglion-cyst.jpg|thumb|Ganglion cyst]] | ||
| + | |||
| + | ==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 injury DDX}} | ||
| + | |||
| + | ==Evaluation== | ||
| + | *Generally clinical diagnosis | ||
| + | **[[Ultrasound: Soft tissue|Ultrasound]] may be useful in equivocal cases | ||
| + | |||
| + | ==Management== | ||
| + | *[[NSAIDs]] | ||
| + | *Refer to hand surgeon for persistent or recurrent pain or cosmetic deformity | ||
| + | |||
| + | ==Disposition== | ||
| + | *Discharge | ||
==See Also== | ==See Also== | ||
| − | *[[Hand | + | *[[Hand and finger diagnoses]] |
| − | == | + | ==References== |
| − | + | <references/> | |
| − | |||
| − | [[Category: | + | [[Category:Orthopedics]] |
| + | [[Category:Sports Medicine]] | ||
Latest revision as of 16:24, 18 October 2019
Contents
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
Management
- NSAIDs
- Refer to hand surgeon for persistent or recurrent pain or cosmetic deformity
Disposition
- Discharge