Title |
Ganglion cysts of the wrist: pathophysiology, clinical picture, and management
|
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Published in |
Current Reviews in Musculoskeletal Medicine, August 2008
|
DOI | 10.1007/s12178-008-9033-4 |
Pubmed ID | |
Authors |
Warren Gude, Vincent Morelli |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 5 | 36% |
United Kingdom | 2 | 14% |
Netherlands | 1 | 7% |
Unknown | 6 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 13 | 93% |
Practitioners (doctors, other healthcare professionals) | 1 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Lebanon | 1 | <1% |
Colombia | 1 | <1% |
Unknown | 167 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 23 | 14% |
Student > Postgraduate | 22 | 13% |
Student > Bachelor | 21 | 12% |
Student > Master | 16 | 9% |
Student > Doctoral Student | 8 | 5% |
Other | 28 | 17% |
Unknown | 51 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 85 | 50% |
Nursing and Health Professions | 7 | 4% |
Agricultural and Biological Sciences | 7 | 4% |
Unspecified | 2 | 1% |
Engineering | 2 | 1% |
Other | 6 | 4% |
Unknown | 60 | 36% |