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A six-year outcome study of the treatment of ganglion cysts on the dorsal wrist compared excision, aspiration, and no treatment. Neither excision nor aspiration provided long-term benefit better than no treatment. Of the untreated ganglion cysts, 58% resolved spontaneously; the postsurgery recurrence rate in this study was 39%. [31]
Ulnar tunnel syndrome is usually caused by a ganglion cyst pressing on the ulnar nerve, other causes include traumas to the wrist and repetitive movements, but often the cause is unknown (idiopathic). [2] Long distance bicycle rides are associated with transient alterations in ulnar nerve function. [3]
There are four subtypes of ulnar neuropathy at the wrist, of which type II is the most common. Guyon's canal syndrome [7] may be secondary to ganglion cyst formation, or compression against a bicycle handlebar.
Ganglion cysts are soft globular structures that occur on the back of the hand usually near the junction of the wrist joint. These small swellings are usually painless when small but can affect hand motion when they become large. The cysts contain a jelly like substance and usually do disappear on their own.
The removal of a ganglion cyst usually requires a ganglionectomy. Such cysts usually form on the hand, foot or wrist and may cause pain or impair body function. Aspiration of the cyst and steroid injections are typically performed first. If they fail, the cyst is excised under local, regional or even general anesthetic.
The muscles lies in the fourth extensor compartment of the wrist, and is relatively rare. [2] It has a prevalence of 4% in the general population according to a meta-analysis. [3] This muscle is commonly misdiagnosed as a ganglion cyst, synovial nodule or cyst. [4] [5] [6]
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Ganglion cyst is associated with minimal and specific pain, such as with forceful hyperextension (push up maneuver) or a dorsal wrist ganglion (fluid-filled closed sac with a joint or tendon sheath in the wrist) Kienbock's disease (breakdown of the lunate bone) Tendinopathy in the wrist (extensor) or thumb (De Quervain syndrome) Inflammatory ...
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