The most common tumor of the hand is actually a ganglion cyst. The most common location of a ganglion cyst in the hand is at the dorsal aspect of the wrist. The common site of origin for the stalk of a dorsal wrist ganglion is the dorsal aspect of the scapholunate interosseous ligament (Fig. 6–1). Ganglion cysts can also be commonly seen at the dorsal radial or dorsal ulnar aspect of the DIP joints of the fingers. This is sometimes called a mucinous cyst and is most often associated with osteoarthritis. Treatment of these mucinous cysts, which can result in thinning of the overlying skin and deformity of the nail, can include cyst excision, joint debridement, and skin coverage or, alternatively, arthrodesis of the DIP joint.
KeywordsMedian Nerve Fibrous Dysplasia Giant Cell Tumor Aneurysmal Bone Cyst Ganglion Cyst
Unable to display preview. Download preview PDF.
- Al Qattan, M.M., and J. B. Husband. 1991. Median nerve compression by the supracondylar process: a case report. J. Hand Surg. 16B:101.Google Scholar
- Averill, R. M., R. J. Smith, and C. J. Campbell. 1980. Giant cell tumor of the bones of the hand. J. Hand Surg. 5:39.Google Scholar
- Bryan, R. S., E. H. Soule, and J. H. Dobyns. 1974. Primary epithelioid sarcoma of the hand and forearm: a review of thirteen cases. J. Bone Joint Surg. 56A:458.Google Scholar
- Creighton, J. J., C. A. Peimer, E. R. Mindell, D. C. Boone, C. P. Karakonis, and H. O. Douglass. 1985. Primary malignant tumors of the upper extremity: retrospective analysis of 126 cases. J. Hand Surg. 10A:805.Google Scholar
- Enzinger, F. M., and S. W. Weiss. 1983. Soft tissue tumors. St Louis: Mosby.Google Scholar
- Greenspan, A. 1989. Tumors of cartilage origin. Orthop. Clin. North Am. 20:247.Google Scholar
- Peimer, C. A., O. J. Moy, and H. M. Dick. 1993. Tumors of bone and soft tissue. In: Operative hand surgery, 3rd Ed., ed. D. P. Green, 2225. New York: Churchill Livingstone.Google Scholar