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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 3-4/2008

Open Access 01-12-2008

Ganglion cysts of the wrist: pathophysiology, clinical picture, and management

Authors: Warren Gude, Vincent Morelli

Published in: Current Reviews in Musculoskeletal Medicine | Issue 3-4/2008

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Abstract

This article reviews what is known about ganglion cyst formation, natural history (50% of cysts will spontaneously resolve), diagnosis, and management of this common malady. Although the exact mechanism of cyst formation is unknown, most current theories hold that extra-articular mucin “droplets” coalesce to form the main body of the tumor. Only subsequently are the “cyst wall” and pedicle (connecting the cyst to a nearby synovial joint) formed. Treatment options include watchful waiting, nonoperative aspiration/injection, and surgical removal. Although treatment is often unnecessary, many patients seeking consultation desire some form of definitive treatment. Cyst aspiration/injection is fraught with a high incidence of recurrence. Surgery generally results in lower rates of recurrence, but a higher incidence of complications. All current treatment options are suboptimal.
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Metadata
Title
Ganglion cysts of the wrist: pathophysiology, clinical picture, and management
Authors
Warren Gude
Vincent Morelli
Publication date
01-12-2008
Publisher
Humana Press Inc
Published in
Current Reviews in Musculoskeletal Medicine / Issue 3-4/2008
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-008-9033-4

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