Ganglia, hygroma, mucous cysts or subcutaneous formations in the area of tendons and joints

Gangliona or hygromas are benign cystic formations that occur along tendons or joints. Gangliona are formed by a shell filled with a jelly-like mass. Initially, these formations are noticeable as small bumps (often – bumps on the wrist), which gradually increase in size. A hygroma can vary in size and cause more or less pain (especially if it compresses the carpal nerves). Ganglia can also restrict movement if they are in close proximity to a joint. Gangliona can be found in people of both sexes and different ages, but most often they are observed in women 20-40 years old. Gangliona or hygromas can be diagnosed clinically – when examining the patient, as well as when additional examinations are prescribed. Additional tests may include x-rays, ultrasound, and magnetic resonance. Hygromas can be caused by trauma, sports, physical work.

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Ganglia, hygroma, mucous cysts or subcutaneous formations in the area of tendons and joints
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Information about the operation

Diagnostics

Ganglion cyst wrist can be diagnosed clinically – when examining the patient, as well as when additional examinations are prescribed, in cases where this is necessary. Additional tests may include x-rays, ultrasound, and magnetic resonance. In most cases, the causes of hygromas and ganglia are constant exposure to a certain area, it is the reason why ganglion wrist is often called an occupational illness. Hygromas can be caused by trauma, sports, physical work. The main ganglion cyst symptoms are cystic formations and pain.

Ultrasonography specifies the type of ganglia

Ultrasound of the skeletal muscle system is recommended to clarify the type of ganglion and its anatomical relationship with other structures.

Osteoarthritis of the finger joints can lead to the formation of cysts in the phalanges of the toenail. These are called mucous cysts. A radiological examination can assess the condition of the interphalangeal joint. As the volume increases, they often deform the shape of the nail and rupture.

Operation information

Ultrasound of the skeletal muscle system is recommended to clarify the type of ganglion and its anatomical relationship with other structures. Ultrasonography will help to specify this hygroma or ganglion and after that to start the necessary ganglion cyst treatment. Osteoarthritis of the finger joints can lead to the formation of cysts in the phalanges of the toenail. These are called mucous cysts. A radiological examination can assess the condition of the interphalangeal joint. As the volume increases, they often deform the shape of the nail and rupture. The choice of surgical treatment method for ganglion cyst wrist depends on the doctor’s technical capabilities and experience in applying the specific method.

Procedure

The formation is excised during the surgery and, if necessary, histological examination is performed. The surgery can also be performed arthroscopically

Duration of surgery

On average from 30 minutes to 1 hour

Anesthesia

Local – regional

Therapy

Usually, surgery for the treatment of hygroma is performed in an out-patient setting.

Recovery

After surgery removal of gangliona or hygroma it requires a certain time and conditions for a full recovery. In the postoperative period there may be local discomfort and pain, which is well controlled with non-specific anti-inflammatory drugs. Wounds heal in 2 weeks. After surgery on ganglion cyst, it is necessary to consult an ergotherapist for rehabilitation and development of movements.

The result

The operation for hygroma removal is effective and gives a positive result, but it should be taken into account that the formation may develop again (possible relapse).

Specialists
Certified plastic surgeon, microsurgeon, hand surgeon.
Certified plastic surgeon, microsurgeon, hand surgeon
Head of the Latvian Microsurgery Center. Certified traumatologist-orthopedist, microsurgeon, hand surgeon
Doctor of Medical Sciences. Certified plastic surgeon
Certified plastic surgeon, microsurgeon, hand surgeon.
Certified plastic surgeon, microsurgeon, hand surgeon
Certified plastic surgeon, microsurgeon, hand surgeon
Certified traumatologist-orthopaedist, microsurgeon, hand surgeon
Certified plastic surgeon
Certified plastic surgeon
Certified plastic surgeon
Certified plastic surgeon
Certified traumatologist-orthopedist
Board Certified Plastic Surgeon, Microsurgeon, Hand Surgeon
Certified plastic surgeon, microsurgeon, hand surgeon
FAQ

Is a ganglion cyst dangerous?

No, a ganglion cyst is a benign formation filled with fluid. It cannot develop into cancer. A hygroma is usually a cosmetic defect, but can sometimes cause pain due to nerve compression or joint irritation.

Is operating a ganglion cyst mandatory?

No, if it does not interfere with movement, cause pain, or interfere with its appearance, the ganglion cyst may not be operated on. However, then you must be sure that it is indeed a ganglion cyst, and additional examinations – ultrasonoscopy or magnetic resonance imaging – should be performed.

Can a ganglion cyst be pierced with a needle?

The cyst should not be pierced, as there is a possibility of injecting an infection, injuring large blood vessels or nerves. The hand surgeon can drain the fluid from the ganglion cysts before performing anesthesia. However, it should be taken into account that the cyst may recur after uptake in up to 80% of cases.

Can a ganglion cyst recur after surgery?

Statistics show that the chance of recurrence or recurrence of a ganglion cyst after its surgical removal is 10-20%, therefore surgery is recommended only if the ganglion causes symptoms.

Operation price

Ganglions

540 €

The price of the operation includes surgery, anesthesia, hospital stay.

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