RT Book, Section
A1 Graham, Thomas P.
A2 Reichman, Eric F.
SR Print(0)
ID 1159803584
T1 Ganglion Cyst Aspiration and Injection
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159803584
RD 2023/09/25
AB Ganglion  cysts  (i.e.,  synovial  cysts  or  ganglia)  are  the  most  common  soft  tissue  tumors  of  the  wrist  and  hand.1  They  are  a  common  reason  for  patients  to  present  to  the  Emergency  Department.  The  chief  complaint  is  usually  a  mild  pain  or  ache,  exacerbated  by  movement,  and  localized  to  a  1  to  2  cm  mass  on  the  wrist  or  hand  (Figures  130-1,  130-2,  and  130-3).  Patients  may  also  present  with  concerns  about  a  painless  “lump.”  Acute  trauma  prior  to  presentation  is  uncommon.  Patients  often  give  a  history  of  repetitive  motion  at  the  site.  The  mass  usually  increases  in  size  progressively  over  time  or  occasionally  may  grow  rapidly  over  a  short  period.  Patients  presenting  to  the  Emergency  Department  with  ganglia  may  have  already  attempted  one  of  several  popular  home  remedies  (e.g.,  homeopathic  medications  or  striking  the  cyst  firmly  with  a  large  book  or  hammer).