Ganglion Cysts in Finger or Wrist Joints
Ganglion cysts are common bumps on the fingers, wrist, or hand. Cysts at the base of the finger are typically a firm pea-sized nodule which can be tender with gripping. Cysts at the end joint of the fingers frequently have a thin skin, are associated with an arthritic bone spur, and may sometimes have periodic drainage. Typically, the ganglion cyst is filled with clear fluid or a gel like substance.
The cause of ganglion cysts is unknown and may occur in patients of all ages. These type of cysts may change in size or even go away completely, they may or may not cause any pain or discomfort, and they are not cancerous in nature.
Treatment options vary with ganglion cysts. In some cases, simple observation of the area by a hand surgeon if the cyst is not causing the patient any pain, as they frequently go away and disappear on their own. An aspiration can be done in the office setting to remove the fluid from the cyst and decompress it. It is important to note that with aspiration of a ganglion cyst, the cyst often comes back. The best option for a painful or recurrent cyst is to have it surgically removed. This is done as an outpatient and involves removing the cyst along the portion of the joint or tendon sheath. Dr. Tirre will perform this excision as an open technique and we have good success with this method of treatment. While surgical treatment is typically the best option to resolve and remove the ganglion cyst, in a small amount of patients the cyst may return.
We will discuss your particular situation and review the best treatment plan for you. Trust your hands to one of Hawaii’s top hand surgeons. Call 808-747-8321 for an appointment today.