Mucous Cysts
Mucous Cysts are a common cause of finger masses, especially over the tiny finger joint that is closest to the tip. These cysts are a kind of ganglion cyst which generally arises due to an underlying arthritis of that particular joint.
Aspirating the cyst is the initial treatment recommended. This should not be done by the patients or by inexperienced people. The cyst connects itself to the underlying joint; if an infection is likely to occur, it can spread to that joint, eventually resulting in a serious problem. It is crucial to understand that to remove the cyst permanently, the underlying joint should be addressed. Mucous cyst excision is a procedure which has proven to be very successful.
Retinacular cysts
Tender masses which appear in the palm near the base of a finger are probably the retinacular cysts. These cysts are simply ganglion cysts coming from the finger’s flexor tendon sheath. The cysts often result in pain when the patient grips objects. Luckily, the cysts are benign and treated easily.
Aspiration is generally successful in the treatment of retinacular cysts. But, as for ganglion cysts in another place, as soon as a cyst recurs, further aspirations may not be the effective form of treatment. If there is a recurrence of a retinacular cyst following a successful aspiration, options are to either live with it or get it removed surgically. Surgery is a very quick outpatient procedure.
Dupytren’s contracture
Dupytren’s contracture is a genetic disorder wherein the fascia of the hand tends to contract, making it difficult for the fingers to extend fully. This condition occurs in people of Scandinavian ancestry. Treatment options include Xiaflex and Needle Aponeurotomy.
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