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Categories: Tattoo Picture | Author: admin 19.06.2014

Charles Goldfarb, MD, the author of this blog, is an orthopedic hand surgeon at Washington University in St. Technically, the surgery of closing wedge osteotomy (osteotomy= cutting the bone) of the wrist removes a wedge of bone from the top of the wrist bones (the dorsal carpus). Ganglions usually present as a lump in one of the typical areas described above, which may be cosmetically unsightly.
It is possible to insert a needle into the ganglion and remove the jelly like contents (aspirate). Most people do not have any problems after their surgery and the lump is permanently removed. Patients can expect some discomfort from the incision for 4 - 6 weeks and discomfort from deep pressure for as long as several months. Small lumps that develop on the tendons of your hands and wrist are called ganglion cyst wrist. Ganglion cyst wrist can develop in any age but it is more likely to occur on middle aged women than children. Ganglion cyst wrist does not require any treatment in most of the cases, since it will disappear within few days.
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A ganglion is best thought of as a sac (or cyst) arising from an adjacent joint capsule or tendon sheath.
The most popular theory is that they form as part of a degenerative process of the tissue that is responsible for producing the synovial fluid which normally lubricates the joint of tendon sheath. These lumps often do not cause any symptoms but they can be uncomfortable, painful or locally tender.
Other patients may be reassured that the lump is benign and may choose not to have any treatment.


This is a minor procedure, it confirms the diagnosis if there is any doubt and it removes the lump. The surgery is performed on an outpatient basis and the ganglions on the finger are removed using local anaesthesia. One of the biggest problems is that the ganglion can return, which does not necessarily mean that the surgery was done badly. It is expected that a full recovery will be achieved within a few months after the surgery. It appears from a joint area or tendon of the wrist to grow like a lesion or lump on the hand.
He practices at St Louis Childrens Hospital and Shriners Hospital for Children in St Louis, Missouri.
The ganglion develops as this fluid accumulates outside the joint or tendon sheath in a sac or cyst. They occur usually at the classical anatomical areas and if a torch is pushed up against the lump it permits the light passing through the substance (transilluminates). The main problem with this treatment is that the lump is likely to come back in as many as 80% of cases. Ganglions on the wrist are usually removed either using general or regional anaesthesia (the local anaesthetic is injected into the shoulder region which temporarily makes the arm numb).
It most likely reflects the fact that the condition which caused the ganglion in the first place remains. Surgery is done for removing the cyst only if the person suffers from pain or numbness in the affected area. In mucoid cysts the ganglion develops as a consequence of underlying joint osteoarthritis and there may be pain on joint movement. Ganglions at the end of the finger can cause deformities of the fingernail and sometimes they spontaneously discharge releasing a clear jelly from the nail fold.


X-rays may be helpful in ganglions affecting the finger as there is often osteoarthritis present. The appearance of lumps on the wrist area can sometimes interfere with the normal joint movement. For some people the size of the cyst is so tiny that it can be felt only if the area is pressed.
Your doctor would insert a needle directly on the cyst to drain out the liquid from the cyst. Following surgery, a light dressing is applied to protect the wound but early active movement of the fingers and thumb is encouraged. Ganglion cyst sometimes can be painful and for some people it can cause tingling sensation or numbness on the affected wrist.
He would then give a steroid injection on the area to facilitate healing and to prevent further cyst formation. After the process, you need to wear a splinter or brace so that there is no mobility on that area.
Patients with flexor sheath (pearl) ganglions may experience discomfort in the palm when objects are gripped in the hand. The dressing will remain for up to two weeks after the operation and it is recommended that the hand is kept dry during this period.
But for many people, the cyst would resolve after some days without requiring any treatment.
Once the cyst is removed by aspiration or surgery the pain will gradually reduce since the nerve will not feel any pressure anymore.



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