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FINGER GANGLIONS


WHAT YOU SHOULD KNOW

Ganglion cysts are small masses that appear and may grow to varying sizes. Sometimes they get larger and smaller because they are sacs filled with a jelly-like material. The sacs protrude from joints or the spaces around tendons and arise due to friction from nearby tendons. They are not tumors and cannot do harm to the patient other than producing local symptoms.

MEDICAL HISTORY

Most patients are simply uncomfortable seeing a strange mass in the body. Others complain of local pain or restriction of motion by the presence of the mass. Common locations are over the last joint in the finger or at the junction of the finger with the palm.

EXAMINATION

The size, consistency, mobility, and location of the mass are noted along with any deficits in function of nearby joints or tendons.

ADDITIONAL TESTS: None are needed in advance. The specimen obtained at the time of surgery is sent to the lab for analysis to prove it was a ganglion and not a tumor.

TREATMENT OPTIONS

 NON-OPERATIVESURGICAL REMOVAL
CONSISTS OFObservationRemoval of the entire mass
FEATURESPatient is instructed to report any changes in conditionOutpatient surgery, small incision
ADVANTAGESAvoids surgeryEliminates lesion and allows laboratory analysis
DISADVANTAGESSmall chance the mass may be something other than a ganglionSmall scar

RECOVERY

Sutures are removed at 2 weeks in the office. Any scar tenderness or slight stiffness receives attention from outpatient therapy to restore normal function of the hand quickly. Minimal time is lost away from normal activities.
 
 
 
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