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Cisto ganglionar

  • Overview
  • Theory
  • Diagnosis
  • Management
  • Follow up
  • Resources
Last reviewed: 13 Sep 2025
Last updated: 16 Aug 2024

Summary

Definition

History and exam

Key diagnostic factors

  • massa subcutânea no punho
  • dor no punho
  • massa insensível à palpação
  • aumento de tamanho da massa após a atividade
  • massa transiluminada
Full details

Other diagnostic factors

  • presença de fatores de risco
  • incapaz de lembrar-se do início do nódulo
  • esfriamento da mão ou do dedo
  • parestesia ou fraqueza dos dedos
  • sensibilidade reduzida na mão
Full details

Risk factors

  • sexo feminino
  • idade entre 10 e 30 anos
  • trauma
  • instabilidade do escafossemilunar
Full details

Diagnostic investigations

1st investigations to order

  • nenhum exame inicial
Full details

Investigations to consider

  • aspiração do cisto
  • velocidade de hemossedimentação
  • proteína C-reativa
  • hemograma completo
  • radiografia de punho
  • ultrassonografia
  • ressonância nuclear magnética
Full details

Treatment algorithm

ACUTE

sem comprometimento neurovascular

com comprometimento neurovascular

Contributors

Authors

Philip Blazar, MD

Associate Professor of Orthopedic Surgery

Harvard Medical School

Brigham and Women's Hospital

Boston

MA

Disclosures

PB declares that he has no competing interests.

Acknowledgements

Dr Philip Blazar would like to gratefully acknowledge Dr Marco Rizzo and Dr Kristofer S. Matullo, previous contributors to this topic.

Disclosures

MR and KSM declare that they have no competing interests.

Peer reviewers

George Chloros, MD

Fellow

Department of Orthopedic Surgery

Wake Forest University Baptist Medical Center

Winston-Salem

NC

Disclosures

GC declares that he has no competing interests.

Lorenz Buchler, MD

Senior Physician

Clinic for Orthopedic Surgery

University Hospital Bern

Bern

Switzerland

Disclosures

LB declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

American College of Radiology. ACR appropriateness criteria: soft tissue masses. 2022 [internet publication].Full text

American College of Radiology. ACR appropriateness criteria: chronic hand and wrist pain. 2023 [internet publication].Full text

Lee I. Clinical treatments for wrist ganglia. ASERNIP-S Report No. 63. Adelaide, South Australia: ASERNIP-S, October 2008 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Cisto ganglionar images

  • Differentials

    • Síndrome do túnel do carpo
    • Lipoma
    • Tumor de células gigantes da bainha do tendão
    More Differentials

  • Guidelines

    • ACR appropriateness criteria: chronic hand and wrist pain
    • ACR appropriateness criteria: soft tissue masses
    More Guidelines

  • Patient information

    Síndrome do túnel do carpo

    More Patient information
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