conditions

Wrist or finger ganglions

A ganglion can be described simply as a benign fluid-filled sac, often arising from an adjacent joint capsule, ligament or tendon sheath. A ganglion can form in almost any location in the wrist and hand. The exact cause of ganglions remains uncertain, but the most popular theory is that they form following trauma or degeneration of tissue.

Ganglions may limit motion in the adjacent joints, or produce discomfort from compression or distention of local soft tissues. Particularly large ganglions can be cosmetically unpleasant. Ganglion cysts of the distal interphalangeal joint (DIP) may produce deformities of the fingernail.

Your hand surgeon will be able to diagnose a ganglion by physical examination. They are often diagnosed simply by their location and shape. An x-ray or ultrasound examination is sometimes required.

Ganglions often change in size and may even disappear spontaneously. For this reason, if the ganglion is asymptomatic, it may be best to simply observe it for a period of time. If diagnosed early, ganglions in the wrist may respond well to a temporary period of immobilisation using a custom made splint.

Surgical management of ganglions is normally considered when the ganglion is causing pain, restricting range of movement and having an impact on functional use of the affected hand.

For more information about ganglion cysts follow this link:

Ganglion cyst information >

Lumps, Bumps and Skin Lesions

It is possible to have benign and malignant growths in the hand and wrist. These need to be assessed by a Hand Surgeon in order to ascertain whether surgery is indicated. Many lumps and bumps (tumours) are easily managed but they need to be assessed sooner rather than later to ensure there is no concern.