What are ganglion cysts. How are ganglion cysts diagnosed. What causes ganglion cysts to form. What are the treatment options for ganglion cysts. How can ganglion cysts be prevented. Are ganglion cysts dangerous. When should you see a doctor about a ganglion cyst.

Understanding Ganglion Cysts: What Are They and Where Do They Occur?

Ganglion cysts are noncancerous lumps that commonly develop along the tendons or joints of wrists or hands. These fluid-filled sacs can also appear on feet, ankles, and knees. Ranging in size from pea-sized to around an inch in diameter, ganglion cysts are typically round or oval and filled with a jelly-like fluid.

Do ganglion cysts only affect certain age groups? While they can occur at any age, ganglion cysts are most common in people between 15 and 40 years old, with women being more susceptible than men. These benign tumors are often referred to as “Bible cysts” or “Bible bumps” due to an old treatment method involving hitting the cyst with a heavy book, typically a Bible.

Common Locations for Ganglion Cysts

• Wrist (dorsal or volar side)
• Hand (particularly on fingers)
• Foot (top or sole)
• Ankle
• Knee

Identifying Symptoms: How to Recognize a Ganglion Cyst

Recognizing a ganglion cyst is crucial for proper diagnosis and treatment. These cysts typically present as visible lumps under the skin, but their characteristics can vary.

Key Symptoms of Ganglion Cysts

1. Visible lump or swelling
2. Pain or discomfort (in some cases)
3. Tingling or numbness if the cyst presses on a nerve
4. Weakness in the affected joint
5. Changes in size over time

Can ganglion cysts cause pain? While many ganglion cysts are painless, some can cause discomfort, especially if they press on a nerve. The pain may be constant or may occur only when the affected joint is used. In some cases, the cyst may interfere with joint movement, leading to weakness or limited range of motion.

Causes and Risk Factors: Why Do Ganglion Cysts Develop?

The exact cause of ganglion cysts remains unclear, but several factors are believed to contribute to their formation. Understanding these factors can help in prevention and management of the condition.

Potential Causes of Ganglion Cysts

• Joint or tendon irritation
• Injury to the joint or tendon sheath
• Structural changes in the joint due to arthritis
• Genetic predisposition

Are certain activities linked to ganglion cyst formation? Activities that place repetitive stress on the joints, such as gymnastics or racquet sports, may increase the risk of developing ganglion cysts. However, they can also occur in individuals who don’t engage in such activities, suggesting that multiple factors play a role in their development.

Diagnosis Methods: How Are Ganglion Cysts Identified?

Proper diagnosis of ganglion cysts is essential for appropriate treatment. While they can often be identified through physical examination, additional tests may be necessary to confirm the diagnosis and rule out other conditions.

Common Diagnostic Techniques

1. Physical examination
2. Transillumination (shining a light through the cyst)
3. Ultrasound imaging
4. Magnetic Resonance Imaging (MRI)
5. Needle aspiration

How accurate is ultrasound in diagnosing ganglion cysts? Ultrasound is highly effective in identifying ganglion cysts, with a sensitivity of up to 93% and specificity of 100%. It can also help differentiate ganglion cysts from other soft tissue masses and provide information about the cyst’s size, location, and relationship to surrounding structures.

Treatment Options: From Conservative Approaches to Surgical Interventions

The treatment of ganglion cysts depends on various factors, including the size of the cyst, its location, and whether it’s causing pain or interfering with joint function. Treatment options range from conservative methods to surgical interventions.

Non-Surgical Treatment Options

• Observation (for asymptomatic cysts)
• Immobilization with a brace or splint
• Aspiration (draining the cyst)
• Steroid injections

Surgical Treatment Options

• Open excision
• Arthroscopic excision

What is the success rate of ganglion cyst surgery? The success rate for surgical removal of ganglion cysts is generally high, with recurrence rates ranging from 5% to 15%. However, the exact success rate can vary depending on the location of the cyst and the surgical technique used. Arthroscopic excision, for instance, has shown lower recurrence rates compared to open excision in some studies.

Natural Remedies and Home Care: Managing Ganglion Cysts Without Medical Intervention

While medical treatments are often necessary for ganglion cysts, some people prefer to try natural remedies or home care methods first, especially for smaller or less bothersome cysts. It’s important to note that these methods are not scientifically proven and should be used with caution.

Popular Home Remedies for Ganglion Cysts

• Applying warm compresses
• Gentle massage
• Arnica gel or cream application
• Frankincense essential oil
• Epsom salt soaks

Can ganglion cysts disappear on their own? Yes, in some cases, ganglion cysts can disappear without any treatment. This spontaneous resolution is more common in younger individuals and with smaller cysts. However, there’s no guarantee that a cyst will resolve on its own, and larger or painful cysts may require medical intervention.

Prevention Strategies: Reducing the Risk of Ganglion Cyst Formation

While it’s not always possible to prevent ganglion cysts, certain strategies may help reduce the risk of their formation or recurrence. These strategies focus on protecting the joints and tendons from excessive stress and injury.

Tips for Preventing Ganglion Cysts

1. Avoid repetitive wrist and hand movements
2. Use proper form when exercising or playing sports
3. Wear protective gear during activities that stress the joints
4. Maintain good overall joint health through regular exercise and a balanced diet
5. Address any underlying joint conditions, such as arthritis

How effective are preventive measures against ganglion cysts? While these preventive strategies can help reduce the risk of ganglion cyst formation, they cannot guarantee prevention. Genetic factors and individual susceptibility also play a role in cyst development. However, by minimizing joint stress and maintaining overall joint health, you can potentially lower your risk of developing these benign tumors.

When to Seek Medical Attention: Recognizing Serious Symptoms

While ganglion cysts are generally harmless, certain symptoms may indicate a need for medical evaluation. Understanding when to seek professional help is crucial for proper management of the condition.

Signs That Warrant Medical Attention

• Rapid growth of the cyst
• Severe or persistent pain
• Numbness or tingling in the affected area
• Interference with joint movement or daily activities
• Changes in skin color or texture over the cyst

How quickly should you see a doctor if you suspect a ganglion cyst? If you notice a lump that you suspect might be a ganglion cyst, it’s advisable to have it evaluated by a healthcare professional within a few weeks, especially if it’s causing discomfort or affecting joint function. However, if you experience sudden, severe pain or rapid growth of the lump, seek medical attention promptly as this could indicate a more serious condition.

Ganglion cysts, while generally benign, can cause discomfort and interfere with daily activities. Understanding their nature, recognizing symptoms, and knowing the available treatment options can help individuals make informed decisions about their care. Whether opting for conservative management, exploring natural remedies, or considering surgical intervention, it’s crucial to consult with a healthcare professional for proper diagnosis and personalized treatment recommendations. By staying informed and proactive, individuals can effectively manage ganglion cysts and maintain optimal joint health.

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ganglienzyste an der hand des mannes. handhaltende computermaus – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes. Handhaltende Computermaus

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

myxoid zyste – ganglion cyst stock-fotos und bilder

Myxoid Zyste

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit…

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglionectomy – ganglion cyst stock-fotos und bilder

Ganglionectomy

Ganglionektomie – Chirurgischer Eingriff

ganglienzyste von harter arbeit – ganglion cyst stock-fotos und bilder

Ganglienzyste von harter Arbeit

Ganglienzyste von harter Arbeit und schmerzhaft

ganglion zyste oder synovial zyste – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Ganglion Zyste oder synovial Zyste

Ganglienzyste, auch bekannt als Synovialzyste oder Gideon-Krankheit oder Bibelzyste oder Bibelbeule

karpaltunnelsyndrom ganglion zyste – ganglion cyst stock-fotos und bilder

Karpaltunnelsyndrom Ganglion Zyste

reparieren fishing net – ganglion cyst stock-fotos und bilder

Reparieren fishing net

Fisherman repariert das Fischernetz.

ganglienzyste des handgelenks und der hand. synovialzyste oder eine gideon-krankheit oder eine bibelzyste oder eine bibelbeule. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Ganglienzyste des Handgelenks und der Hand. Synovialzyste oder…

Ganglienzyste des Handgelenks und der Hand. Synovialzyste oder eine Gideon-Krankheit oder eine Bibelzyste oder eine Bibelbeule. Vektor-Illustration

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau Hand auf weißem Hintergrund

reparatur der fishing net – ganglion cyst stock-fotos und bilder

Reparatur der Fishing Net

medizinische vektorabbildung der ganglion-fußzyste mit knochen. große ganglienzysten, ein sack mit gelee wie flüssigkeit, ist auf dem fuß des mannes gesetzt – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Medizinische Vektorabbildung der Ganglion-Fußzyste mit Knochen….

Medizinische Vektordarstellung der Ganglienfußzyste mit Knochen. Große Ganglienzysten, ein Sack aus geleeartiger Flüssigkeit, wird am Fuße des Menschen auf den weißen Hintergrund gelegt.

ganglion cyst lump on left hand – ganglion cyst stock-fotos und bilder

Ganglion Cyst Lump On Left Hand

Nahaufnahme eines weißen kaukasischen Mannes in der linken Hand mit einem Ganglienzystenknoten, der zwischen den dorsalen digitalen Nerven oder dem Ulnarnerv steckt.

karpaltunnelsyndrom ganglion zyste – ganglion cyst stock-fotos und bilder

Karpaltunnelsyndrom Ganglion Zyste

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

große kegelzyste (hygrom), flüssigkeitsgefüllter knoten im zusammenhang mit einem gelenk, ein tumor oder eine schwellung auf einem gelenk oder die abdeckung einer sehne. – ganglion cyst stock-fotos und bilder

Große Kegelzyste (Hygrom), flüssigkeitsgefüllter Knoten im…

Große Kegelzyste (Hygrom) , flüssigkeitsgefüllter Klumpen, der mit einem Gelenk, einem Tumor oder einer Schwellung auf einem Gelenk oder der Abdeckung einer Sehne verbunden ist.

ganglion-zyste – ganglion cyst stock-fotos und bilder

Ganglion-Zyste

Ganglienzyste an Menschenhand isoliert auf weißem Hintergrund

medizinische ganglienfußzyste mit knochen und ärztliche injektion – ganglion cyst stock-fotos und bilder

Medizinische Ganglienfußzyste mit Knochen und ärztliche Injektion

vektorillustration eines verängstigten mannes, der seine hand untersucht. der mann fand einen tumor an seinem arm. symptome von lipom, zyste, tumor und krebs. illustration für medizinische artikel, plakate, ständer. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Vektorillustration eines verängstigten Mannes, der seine Hand…

vektorgrafik eines verängstigten mannes, der seine hand untersucht. der mann fand eine schwellung an seiner hand. symptome von lipomen, zysten, tumoren und krebs. illustration für medizinische artikel, plakate, ständer. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Vektorgrafik eines verängstigten Mannes, der seine Hand. ..

vektorillustration eines verängstigten mannes, der seine hand untersucht. der mann fand einen tumor an seinem arm. symptome von lipom, zyste, tumor und krebs. illustration für medizinische artikel, plakate, ständer. – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Vektorillustration eines verängstigten Mannes, der seine Hand…

ganglienzyste – ganglion cyst stock-fotos und bilder

Ganglienzyste

medizinische ganglienfußzyste mit knochen und ärztliche injektion – ganglion cyst stock-fotos und bilder

Medizinische Ganglienfußzyste mit Knochen und ärztliche Injektion

Medizinische Ganglienfußzyste mit Knochen und Arztinjektion. Große Ganglienzysten

karpaltunnelsyndrom ganglion zyste – ganglion cyst stock-fotos und bilder

Karpaltunnelsyndrom Ganglion Zyste

Karpalganglionzyste im Handgelenk auf schwarzem Grund

ganglienzyste an der hand des mannes. handhaltende computermaus – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes. Handhaltende Computermaus

linke hand mit gebrochenem finger und ganglion cyst – ganglion cyst stock-fotos und bilder

Linke Hand mit gebrochenem Finger und Ganglion Cyst

Aufnahme einer linken Hand eines weißen kaukasischen Mannes “u2019” mit einem gebrochenen kleinen Finger, der nicht richtig verheilt ist, und einem Ganglienzystenknoten, der zwischen den dorsalen digitalen Nerven des Ulnarnervs liegt.

asiatische frauen alter dreißig kranken mit der krankheit, die zyste am handgelenk isoliert auf weißem hintergrund mit beschneidungspfad. karpaltunnelsyndrom ganglion zyste in medizinische bezeichnung. – ganglion cyst stock-fotos und bilder

Asiatische Frauen Alter dreißig Kranken mit der Krankheit, die…

Asiatische Frauen im Alter von dreißig Jahren Krank mit Krankheit, Die Zyste am Handgelenk isoliert auf weißem Hintergrund mit Schnittweg. Karpalganglionzyste im medizinischen Namen

großen talgdrüsen – ganglion cyst stock-fotos und bilder

Großen Talgdrüsen

zyste an der hand – ganglion cyst stock-fotos und bilder

Zyste an der Hand

zyste – ganglion cyst stock-fotos und bilderganglion zyste drei tage nach der operation – ganglion cyst stock-fotos und bilder

Ganglion Zyste drei Tage nach der Operation

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

ganglien – ganglion cyst stock-fotos und bilder

Ganglien

Ganglienzyste an Menschenhand isoliert auf weißem Hintergrund

ganglion zyste – ganglion cyst stock-grafiken, -clipart, -cartoons und -symbole

Ganglion Zyste

ganglion zyste im handgelenk isoliert auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste im Handgelenk isoliert auf weißem Hintergrund

ganglienzyste an der hand des mannes auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund.

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit…

Großes Zystenhygrom, flüssigkeitsgefüllter Knoten im Zusammenhang mit einem Gelenk, ein Tumor oder Schwellungen auf einem Gelenk.

ganglienzyste von harter arbeit – ganglion cyst stock-fotos und bilder

Ganglienzyste von harter Arbeit

Ganglienzyste von harter Arbeit und schmerzhaft

ganglion cyst lump on hand – ganglion cyst stock-fotos und bilder

Ganglion Cyst Lump On Hand

Nahaufnahme eines weißen kaukasischen Mannes in der linken Hand mit einem Ganglienzystenknoten, der zwischen den dorsalen digitalen Nerven oder dem Ulnarnerv steckt.

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit…

Großes Zystenhygrom, flüssigkeitsgefüllter Knoten im Zusammenhang mit einem Gelenk, ein Tumor oder Schwellungen auf einem Gelenk.

ganglienzyste an der hand des mannes auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund.

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

große zyste (hygroma), flüssigkeitsgefüllter klumpen, der mit einem gelenk, einem tumor oder schwellungen auf einem gelenk verbunden ist. – ganglion cyst stock-fotos und bilder

Große Zyste (Hygroma), flüssigkeitsgefüllter Klumpen, der mit. ..

große kegelzyste (hygrom), flüssigkeitsgefüllter knoten im zusammenhang mit einem gelenk, einem tumor oder einer schwellung auf einem gelenk oder der abdeckung einer sehne – ganglion cyst stock-fotos und bilder

Große Kegelzyste (Hygrom), flüssigkeitsgefüllter Knoten im…

Große Kegelzyste (Hygrom) , flüssigkeitsgefüllter Klumpen, der mit einem Gelenk, einem Tumor oder einer Schwellung auf einem Gelenk oder der Abdeckung einer Sehne verbunden ist.

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglienzyste an der hand des mannes auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes auf weißem Hintergrund

ganglienzyste an der hand des mannes. handhaltende computermaus – ganglion cyst stock-fotos und bilder

Ganglienzyste an der Hand des Mannes. Handhaltende Computermaus

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau Hand auf weißem Hintergrund

großen talgdrüsen – ganglion cyst stock-fotos und bilder

Großen Talgdrüsen

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

großen talgdrüsen – ganglion cyst stock-fotos und bilder

Großen Talgdrüsen

reife hand mit osteoarthritis knötchen und ganglienzysten. – ganglion cyst stock-fotos und bilder

Reife Hand mit Osteoarthritis Knötchen und Ganglienzysten.

Reife Hand mit Arthroseknoten und Ganglienzysten.

ganglion zyste auf frau hand auf weißem hintergrund – ganglion cyst stock-fotos und bilder

Ganglion Zyste auf Frau hand auf weißem Hintergrund

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Ganglion Cysts: Symptoms, Diagnosis and Treatment

Nationwide Children’s Hospital

A ganglion (gang-glee-uhn) cyst is a fluid-filled lump under the skin. It is often found over a joint or in a tendon in the hand or wrist (Picture 1). A ganglion cyst forms when there is a small tear in the sleeve of thin tissue that covers a joint or tendon. The tissue bulges and forms a sac. Fluid from the joint leaks into the sac and causes swelling.

• The name of the ganglion cyst changes with its place on the body. If it appears on top of the wrist, it’s a dorsal wrist ganglion cyst (Picture 1). A cyst on the palm side of the wrist is a volar wrist ganglion cyst. Ganglion cysts are most often seen in these two areas. If it’s in the hand, it’s called a retinacular cyst.
• Children of all ages can get ganglion cysts. They are typically seen in people between the ages of 15 and 40, but they can be seen in very young children as well.
• Girls are more likely than boys to have ganglion cysts.
• While ganglion cysts are common, they are usually harmless.

Cause

• The cause of ganglion cysts is unknown. They can appear suddenly or slowly and may go away on their own. If they go away, they may come back for no reason.
• Exercise or using the joint where the ganglion cyst has formed more often may cause it to get bigger over time. Resting the joint may help it get smaller.

Signs and Symptoms

Ganglion cysts don’t usually hurt, but there are some symptoms your child may notice.

• Appearance of a lump
• Pressure or pain when bending the joint if a cyst is big
• Discomfort, tingling, or numbness if the cyst is pressing on a nerve
• Pain is not usually intense if there’s pain at all
• Skin over the cyst may feel smooth, round, and rubbery
• Less range of motion where the cyst is or less strength to grip things

Diagnosis

A ganglion cyst can often be diagnosed during a clinic visit. The doctor or health care provider will take your child’s medical history and do a physical exam.

• Special testing is not needed unless your child has a lot of pain where the cyst is.
• Sometimes an X-ray, ultrasound, or magnetic resonance imaging (MRI) test may be ordered. X-rays will not show a ganglion cyst, but they may show other problems. An MRI can find hidden cysts under the skin or reveal other causes of your child’s pain.

Treatment

Most ganglion cysts go away without treatment. However, some may come back after treatment. It may take a long time, up to 12 to 18 months, before the cyst goes away. If it’s not causing any pain, the doctor or health care provider may suggest simply watching and waiting.

If the ganglion cyst is causing your child many problems, the doctor or health care provider will discuss doing one of the following:

• Splinting:  A brace is used to keep the area with the cyst from moving. That will help prevent more irritation that’s caused when the joint moves. It may help the swelling go down and your child may be more comfortable.
• Aspiration:  The fluid is drained from the ganglion cyst by using a needle (Picture 2). A doctor will numb the area, then insert a needle into the cyst to remove the fluid. The cyst may fill with fluid again since it wasn’t fully removed. This procedure is done in the outpatient clinic.
  • Aspiration is not recommended for volar wrist cysts. There is too much of a risk for damage to blood vessels in this area.
• Surgical excision:  Your child will be put to sleep with anesthesia. This will keep them from feeling pain during surgery. A surgeon will cut out (excise) the whole ganglion cyst. This includes the thin sleeve covering the tendon or joint. Excision greatly reduces the chance of the cyst coming back, but it can still return.
  • Patients wear a splint for 2 weeks after surgery.
  • Surgery is a safe choice, but the recovery time is longer and there are risks like:  infection, scarring, pain, problems healing, bleeding at the surgical site, recurrence (return of the cyst), and possible harm to the blood vessels, nerves, and tissues around the surgical site.

Hand specialists in Plastic Surgery and in Orthopedic Surgery at Nationwide Children’s Hospital take care of many patients with ganglion cysts. They are here to help you and
your child. 

Nationwide Children’s Columbus – call (614) 722-HAND (4263) to schedule an appointment

Nationwide Children’s Toledo – call (419) 251-2061 to schedule an appointment

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HH-I-416 • ©2016, revised 2022• Nationwide Children’s Hospital

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Ganglion Cysts (PDF)

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Ganglia. Full description: causes, symptoms, diagnosis, treatment

Tendon ganglion (hygroma) is a benign, neoplastic, cystic neoplasm that occurs in the area of ​​tendon sheaths or joints.

Most often, the tendon ganglion is formed on the back of the hand, but there are also quite frequent cases of hygroma of the knee joint, less often on the back of the foot. Not a single case of degeneration of the ganglion into a malignant tumor has been recorded.

Symptoms:

The tendon ganglion is not considered dangerous, but it can cause pain during the work of the tendon and often becomes quite noticeable visually, and in advanced stages, squeezing of the vessels begins, which leads to stagnation of blood in the veins and pain. On palpation, the ganglion is defined as a tumor-like, round and inactive formation with clear boundaries. Occurs in the region of the joint and is distinguished by a hard-elastic consistency.

When the tendon ganglion is still small, the patient usually does not experience any discomfort.

Reasons for :

In most cases, the causes of the emergence and development of the tendon ganglion is the constant impact (for example, friction or pressure) on a certain area, which is why this disease is often called an occupational disease.

In essence, the hygroma is a degenerative synovial cyst. So, tendon ganglion symptoms, treatment and everything you need to know about this disease.

When to go to the doctor:

As soon as you have a neoplasm, contact a specialist immediately

Forms of the disease:

The ganglion has a connective tissue capsule, often multi-layered. Inside the capsule consists of cavities, which may be several or only one. These cavities contain thickened synovial fluid.

There are several types of hygroma:

• Valve – a valve is formed at the junction of the hygroma capsule and the maternal membrane. When the pressure in the parental cavity is increased by stress or trauma, the synovial fluid begins to flow into the ganglion cavity, but does not move back, as it is blocked by a valve.
• Fistula – tendinous ganglion cavities have an anastomosis together with connections to the tendon sheath or joint. In such cases, the liquid from the hygroma, from time to time, pours out and fills the maternal cavity.
• Isolated – in this case, the ganglion cavity is completely isolated and separated from the maternal membrane. But it still has a place of adhesion with it.

Diagnosis:

The diagnosis is usually made on the basis of the history and characteristic clinical manifestations. X-rays may be ordered to rule out osteoarticular pathology. In doubtful cases, ultrasound, magnetic resonance imaging or ganglion puncture are performed.

Treatment:

Tendon ganglion, conservative and surgical treatment:

Conservative treatment: When the ganglion is still small, the method of mechanical crushing can be used. This is a very painful procedure, which is also generous with relapses. The fact is that when crushed, the liquid in the ganglion cavities can pour out into the surrounding tissues. Sometimes inflammatory reactions or even suppuration may begin. And the damaged shell, after a certain period of time, can recover and then most likely a new ganglion will appear. In official medicine, this method has hardly been used since the 80s of the last century because of its cruelty, pain and inefficiency.

Another method of conservative treatment is ganglion puncture, this method is used not only for therapeutic purposes (when for some reason it is not possible to perform an operation), but also for diagnosis (the contents of the ganglion are taken for research).

For treatment, fluid is pumped out of the ganglion, then the cavity is filled with specialized preparations that contribute to the sclerosis of the ganglion capsule. After that, a bandage and plaster are applied to the place where the ganglion is located to immobilize the limb for a week. Immobilization is important to reduce the production of synovial fluid.

Surgical treatment: when conservative methods are ineffective, and the ganglion causes pain, grows or is too prominent, then only surgical intervention remains – bursectomy.

During this operation, the synovial bag is completely cut, then the tendon ganglion and all its membranes are removed. The operation can be performed under local anesthesia, on an outpatient basis. An anesthetic is injected around the site of ganglion formation and the entire operation takes no more than half an hour.

However, unfortunately, it is impossible to carry out a complete and adequate removal of the ganglion during an outpatient operation, since pain sensitivity remains inside the tissues. Best of all, if the operation is performed under general anesthesia, then there will be a complete shutdown of tissue sensitivity. After the operation, the site where the ganglion was is stitched together and in most cases heals in just 10 or 12 days.

It is very important that after the operation to remove the tendon ganglion, the operated area of ​​the limb is firmly fixed using a plaster splint, which is removed after 2-3 weeks. While the scar is forming, you should not allow movements of the limb in the area where the ganglion was, otherwise there will be a risk of relapse.

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Treatment of tendon ganglion of the hand in the clinic of St.

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What is tendon ganglion? How is the removal going? Recovery after surgery

The tendon ganglion is a small subcutaneous mass located at the base of the finger. The disease develops gradually, for no apparent reason, more often in women. Attention is drawn to when there are pains with pressure in the area of ​​\u200b\u200bdensification. This is especially noticeable to housewives who carry packages loaded with groceries home from the store. The package handles twisted into a tourniquet put pressure on the bases of the fingers, causing pain when they hit the seal.

What is a tendon ganglion?

In orthopedics, ganglion refers to a cavity of tendon sheaths that is filled with a gel-like fluid.

On examination, it is very difficult to notice a slight swelling at the base of the finger on the hand (Fig. 1).

On palpation (palpation) of the hand, the doctor determines a dense formation that looks like a small “pea”. The skin over the formation is freely displaced. When you move your finger, the “pea” retains its location.

Fig.1

Nikitin Alexander Vladimirovich

Traumatologist-orthopedist “SM-Clinic”

“Hygroma does not pose a danger to health and life. If it does not look like an obvious cosmetic defect and does not hurt, then it can not be removed. However, if the hygroma limits the mobility of the joint , hurts and interferes, it is better to perform an operation and get rid of the neoplasm.

Tendon ganglion treatment

The only way to treat this disease is an operation, during which it is necessary to remove the membranes and contents of the ganglion. The operation can be performed on an outpatient basis under local anesthesia. After anesthetizing the necessary area of ​​the hand, a skin incision is made. When diluting the edges of the wound, the tendon ganglion is isolated.

After making sure that the digital neurovascular bundles are set aside and cannot be damaged, the ganglion is excised.

Soft tissues excised during the operation must be sent for histological examination.

Fig.2. Tissues excised during the operation: sheaths of the tendon ganglion (a), contents of the cavity (b).

Fig.2.

Recovery

In the postoperative period, dressings are performed, the sutures are removed 10 days after the operation. A plaster cast is not required. In order to develop a hand faster, physiotherapy treatment, therapeutic exercises, massage of the hand and forearm are prescribed.

There are no means of preventing tendon ganglion development.

There are contraindications. Specialist consultation is required.

Author of the article:
Nikitin Alexander Vladimirovich
operating traumatologist at the SM-Clinic

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