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Medicine (MD/DO)
/
USMLE Step 1
/
Musculoskeletal (Orthopedics)
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Upper Extremity Disorders
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Ganglion Cyst

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Ganglion Cyst

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Ganglion Cyst

Gang-of-lion Sisters
DikeHAfifi
8 KEY FACTS
CHARACTERISTICS
Benign
Bunny

A ganglion cyst is a benign mass.

Fluid-filled Swelling
Fluid Swollen Joint

Fluid-filled swelling characterized by a ganglion cyst. It is commonly seen as a round or oval bump.

Water Balloon on a Straw
Water Baloon on a Straw

The finding of a ganglion cyst can be described as a water balloon on a straw.

PATHOPHYSIOLOGY
Herniation of Dense Connective Tissue
Hermit-crab Connected Tissue-boxes

A ganglion cyst is believed to occur due to the herniation of dense connective tissue from ligaments, tendon sheaths, joint capsules, menisci, and bursae. It may contain mucinous and gelatinous fluid.

LOCATION
Dorsal Side of Wrist
Dorsal-fin Side of Wrist

Commonly present in the dorsal aspect of the wrist in 70% of cases. It usually originates from the scapholunate ligament or scapholunate articulation.

TREATMENT
Observation
Observatory

Observation can be done in asymptomatic patients.

Surgery
Surgeon-with-scalpel

Surgery is indicated in patients who experience symptoms that don't resolve with conservative treatments. It has a lower recurrence rate but a higher rate of complication and a more extended recovery period.

CONSIDERATIONS
Resolves Spontaneously
Spartan

It resolves spontaneously, which can be seen in around 58% of cases.

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