Most common benign lesion of the hand/wrist.
Typically, insidious onset with no predisposing conditions.
Usually only a cosmetic problem but local pain and 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.
Ganglion cysts are smooth, soft, benign masses that are usually located on the wrist (dorsal or volar aspect) with one or more communicating stalks into the wrist joint or surrounding structures. They can be single or multi-loculated and are filled with viscous, sticky, mucinous fluid.
History and exam
Philip Blazar, MD
Associate Professor of Orthopedic Surgery
Harvard Medical School
Brigham and Women's Hospital
PB declares that he has no competing interests.
Dr Philip Blazar would like to gratefully acknowledge Dr Marco Rizzo and Dr Kristofer S. Matullo, previous contributors to this monograph. MR and KSM declare that they have no competing interests.
George Chloros, MD
Department of Orthopedic Surgery
Wake Forest University Baptist Medical Center
GC declares that he has no competing interests.
Lorenz Buchler, MD
Clinic for Orthopedic Surgery
University Hospital Bern
LB declares that he has no competing interests.
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