Ganglion cyst | |
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Other names | Ganglia, synovial cyst,[1] Gideon's disease, Olamide's cyst, Bible cyst, Bible bump[2] |
Cyst on dorsum of left hand close to the wrist | |
Specialty | Plastic surgery, orthopedic surgery, hand surgery |
Symptoms | Small soft bump associated with a joint or tendon sheath[3] |
Complications | Only with operative treatment |
Usual onset | Any age |
Diagnostic method | Typically based on signs[4] |
Differential diagnosis | Lipoma, extensor tenosynovitis[4] |
Treatment | Watchful waiting, splinting the affected joint, needle aspiration, surgery[3] |
Prognosis | Not serious[3] |
Frequency | ~3 per 10,000 per year (wrist and hand)[5] |
A ganglion cyst is a fluid-filled bump associated with a joint or tendon sheath.[3] It most often occurs at the back of the wrist, followed by the front of the wrist.[3][4]
The cause is unknown.[3] The underlying mechanism is believed to involve an outpouching of the synovial membrane.[4] Diagnosis is typically based on examination. The ability to shine through the bump or any past decrease in size supports the diagnosis of the bump as a ganglion cyst.[4] Ganglion cysts are usually obvious upon observation. Medical imaging may be considered on infrequent occasions to rule out another diagnosis.[3][4]
Treatment is not necessary. Options for treatment include needle aspiration or surgery.[3] About half the time, they resolve on their own.[4] About three per 10,000 people newly develop ganglion of the wrist or hand a year.[5]