A ganglion cyst is a gelatinous filled mass that most commonly occurs on the back of the hand near the wrist. They are common and can be seen in all different age groups from children to adults. While most are not painful if the cyst impinges on the wrist it can cause pain. Sometimes the cyst can be seen on the front of the wrist.
Treatment for Ganglion Cyst
Non-Operative
Treatment for a ganglion cyst is mostly non-surgical and can be observed. They can spontaneously disappear. If the cyst becomes painful, limits activity, or is otherwise causing problems, several treatment options are available.
Aspiration/Injection
If patients elect to have the cyst treated an aspiration can be performed. However the rate of recurrence is high with some literature showing almost 60%.
Operative
The other option is to have the cyst removed surgically but this still has a high recurrence rate (10%). It is important to note that patients often trade a cyst for a surgical scar when deciding on surgery. Arthroscopic removal of the cyst can also be performed.
Treatment for Mucous Cyst
Mucous cyst is a ganglion cyst that occurs around the tip finger. Mucous cyst forms from the fingers’ response to arthritis by making additional joint fluid. Aspiration is not recommended because the cyst communicates with the joint and could lead to an infection. If an infection occurs then patients will require surgery.
Treatment for Retinacular Cyst
Retincular cyst is another ganglion cyst that typically occurs around a tendon sheath around the base of the finger. It feels like a bb or bead underneath the skin and can be painful with grip. Often aspiration can be performed and if still present can be removed surgically.