Summary

• Most common benign lesion of the hand/wrist.
• Typically, insidious onset with no predisposing conditions.
• Usually only a cosmetic problem but neurovascular compression may occur.
• Conservative management usually suffices if no neurovascular compromise.
• Aspiration of dorsal cysts can be therapeutic and diagnostic.
• Surgical excision has a higher rate of resolution but recurrence is possible.
• No reported malignant transformation.