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    Ganglion

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    Junben Delacruz
    A ganglion cyst is a benign fluid-filled lump that usually forms on the back of the wrist joint or on fingers. Risk factors include being a woman aged 20-40, having osteoarthritis in finger joints, or a past joint or tendon injury. Symptoms may include pain, tingling, numbness, or muscle weakness. Ganglion cysts contain fluid made of hyaluronic acid and collagen fibers surrounded by fibrocytes. Treatment options include monitoring, needle aspiration, arthroscopic excision, open excision, medication, splinting, and hand therapy.

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    Ganglion

    Uploaded by

    Junben Delacruz
    64 views10 pages
    A ganglion cyst is a benign fluid-filled lump that usually forms on the back of the wrist joint or on fingers. Risk factors include being a woman aged 20-40, having osteoarthritis in finger joints, or a past joint or tendon injury. Symptoms may include pain, tingling, numbness, or muscle weakness. Ganglion cysts contain fluid made of hyaluronic acid and collagen fibers surrounded by fibrocytes. Treatment options include monitoring, needle aspiration, arthroscopic excision, open excision, medication, splinting, and hand therapy.

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    A ganglion cyst is a benign fluid-filled lump that usually forms on the back of the wrist joint or on fingers. Risk factors include being a woman aged 20-40, having osteoarthritis in finger joints, or a past joint or tendon injury. Symptoms may include pain, tingling, numbness, or muscle weakness. Ganglion cysts contain fluid made of hyaluronic acid and collagen fibers surrounded by fibrocytes. Treatment options include monitoring, needle aspiration, arthroscopic excision, open excision, medication, splinting, and hand therapy.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    64 views10 pages

    Ganglion

    Uploaded by

    Junben Delacruz
    A ganglion cyst is a benign fluid-filled lump that usually forms on the back of the wrist joint or on fingers. Risk factors include being a woman aged 20-40, having osteoarthritis in finger joints, or a past joint or tendon injury. Symptoms may include pain, tingling, numbness, or muscle weakness. Ganglion cysts contain fluid made of hyaluronic acid and collagen fibers surrounded by fibrocytes. Treatment options include monitoring, needle aspiration, arthroscopic excision, open excision, medication, splinting, and hand therapy.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Ganglion

    Risk Factor
    • Your sex and age. Ganglion cysts can develop
    in anyone, but they most commonly occur in
    women between the ages of 20 and 40.
    • Osteoarthritis. People who have wear-and-
    tear arthritis in the finger joints closest to
    their fingernails are at higher risk of
    developing ganglion cysts near those joints.
    • Joint or tendon injury. Joints or tendons that
    have been injured in the past are more likely
    to develop ganglion cysts
    Signs and Symptoms
    • pain
    • tingling
    • numbness
    • muscle weakness
    Pathophysiology
    Ganglion cysts can be unilobulated, they
    are most often multilobulated, with septa
    made from connective tissue separating
    the lobes or cavities. Thornburg points out
    that because there is no epithelial lining of
    the cyst wall, a ganglion cyst is not a true
    cyst and, because of this histologic
    observation, the theories of synovial
    herniation or synovial tumor formation are
    not supported and may be disputed.
    cont's
    Hyaluronic acid predominates the
    mucopolysaccharides that make up the fluid within
    the cyst’s cavity, whereas collagen fibers and
    fibrocytes make up the wall lining. The development
    of these cysts is histologically observable beginning
    with swollen collagen fibers and fibrocytes, followed
    by a degeneration and liquefaction of these
    elements, a termination of degeneration, and, lastly,
    a proliferation of the connective tissue, resulting in
    a border that is dense in texture.
    Diagnostic Exam
    • x-ray
    • MRI exam
    • Ultrasound
    Pharmacological Management
    • Medication and splinting - If you’re
    experiencing pain, they may
    recommend an anti-inflammatory
    medication and splinting to decrease
    the pain
    Medical Management
    • Close monitoring - if the ganglion cyst isn't
    causing pain or interfering with movement,
    some doctors prefer to wait and see. The cyst
    may simply disappear on its own.
    • Needle aspiration - one of the tests to
    diagnose ganglion cysts involves drawing off
    the fluid with a fine needle. In many cases
    (around 75 per cent), this treatment empties
    the cyst and no further action is needed.
    Surgical Management
    • Arthroscopic excision-which is a minimally invasive
    surgical technique. During an arthroscopic excision,
    they look into your wrist with a small camera and
    small tools. Through a very small incision,the
    surgeons can remove the cyst by cutting out the
    stalk. The cyst will disappear on its own once the
    stalk is removed
    • Open excision - During an open excision of the cyst,
    there is no use of a camera, and theymake a larger
    incision on top of the cyst to remove it.
    Nursing Management
    • Advice the patient not try to pop or break
    the cyst. This can cause tissue damage and
    the cyst may return.
    • Advice the patient to go to hand therapy, if
    needed. A hand therapist teaches you
    exercises to help improve movement and
    strength, and to decrease pain.
    • Advice the patient towear a splint as directed
    to support and protect the joint that has the
    cyst. This will limit movement and help your
    cyst get smaller.

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