Ganglion Cyst Surgery
http://www.handandwristinstitute.com/... - One of the most common wrist and hand problems that specialists encounter is the ganglion cyst. They are highly mutable condition, and cysts may be found at several different points of the hand, including, but not limited to, the top of the wrist, the knuckles, the outside of the wrist, and the metacarpophalangeal joints at the base of the fingers. Generally, activity increases the size of the ganglion as movement and use can increase the production of the fluid which creates it, while, conversely, rest can temporarily resolve the irritation of the cyst by reducing the amount of fluid, and subsequently, overall size.
Ganglion cysts most often become apparent when patients engage in pushing motions, such as those involved in pushups or certain yoga postures. Unlike some other cysts, traumatic injury is unlikely to have caused the development of ganglions. In the most common iteration, on the top of the wrist, the cyst extends upward from the joint like a balloon, and will manifest tenderness upon palpation.
Generally, an MRI is used to attempt to determine an appropriate diagnosis, but one must take into account that MRI is only effective about 50% of the time. MRI can be useful in finding other related problems, however, such as cartilage and ligament tears.
Some may aspirate a ganglion cyst, but recurrence rates are high, so surgical excision is the best bet. A small incision is made in the wrist above the cyst, and the whole thing, including the trunk, is removed from the scapholunate ligament in the joint of the wrist. The whole procedure takes only 15 minutes, and after a few days of light splinting, activity may be resumed, and should be to avoid stiffness developing. In some cases, arthroscopic surgery may be necessary to determine if damage to the ligament or cartilage, and in this case recovery is slightly longer, up to six weeks. Ganglions may recur in about 5% of cases, but surgical removal keeps this number very low.
Ganglion cysts most often become apparent when patients engage in pushing motions, such as those involved in pushups or certain yoga postures. Unlike some other cysts, traumatic injury is unlikely to have caused the development of ganglions. In the most common iteration, on the top of the wrist, the cyst extends upward from the joint like a balloon, and will manifest tenderness upon palpation.
Generally, an MRI is used to attempt to determine an appropriate diagnosis, but one must take into account that MRI is only effective about 50% of the time. MRI can be useful in finding other related problems, however, such as cartilage and ligament tears.
Some may aspirate a ganglion cyst, but recurrence rates are high, so surgical excision is the best bet. A small incision is made in the wrist above the cyst, and the whole thing, including the trunk, is removed from the scapholunate ligament in the joint of the wrist. The whole procedure takes only 15 minutes, and after a few days of light splinting, activity may be resumed, and should be to avoid stiffness developing. In some cases, arthroscopic surgery may be necessary to determine if damage to the ligament or cartilage, and in this case recovery is slightly longer, up to six weeks. Ganglions may recur in about 5% of cases, but surgical removal keeps this number very low.
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