GANGLION CYST

• Ganglion is a tense, cystic swelling and occurs due to myxomatous degeneration of the synovial sheath lining the joint or tendon sheath.

ETIOLOGY-

• Leakage in the capsule due to trauma
• Mucoid degeneration of fibrous sheath

CLINICAL FEATURES-

• MC site- dorsum of the hand (scapholunate articulation), volar surfave of wrist, palm of the hand, at the base of finger (seed ganglion).
• Discomfort
• Seen between 20- 50 years female
• Round smooth swelling is seen
• Swelling is tensely cystic and fuctuant
• Seed ganglion can be painful while gripping (usually painless).

INVESTIGATIONS-

• Transilluminant brightly
• Mucous cyst discharge 
• Cyst contains crystal clear gelatinous fluid.

TREATMENT-

• Aspiration of ganglion and injection of sclerosants reduces size
• Surgical excision

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