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Soft Tissue Benign Hand Masses in the First Web Space: A Retrospective Case Series.
Ehab S Saleh1, Alex F De Carvalho2, Sazid Hasan3
1Department of Orthopedic Surgery, Oakland University William Beaumont School of Medicine, Rochester, USA.
Cureus
|May 22, 2023
Summary
First dorsal web space hand masses present diverse pathologies. Ganglion cysts are most common, but careful surgical planning with imaging is crucial due to complex anatomy.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Musculoskeletal Oncology
Background:
- Hand masses are common, with first web space masses representing a diverse range of lesions.
- These lesions can include benign/malignant tumors, metastases, and congenital anomalies affecting various hand structures.
Purpose of the Study:
- To analyze the pathologies and treatment outcomes of masses in the first dorsal web space of the hand.
- To highlight the importance of preoperative planning for these complex hand masses.
Main Methods:
- Retrospective case series of 12 patients treated for first dorsal web space hand masses over five years.
- Surgical resection via a dorsal approach was performed for all cases.
Main Results:
- The most frequent diagnoses were ganglion cyst (50%), lipoma (25%), and aneurysm (16.6%).
- A single case of eccrine spiradenoma was also identified.
- The patient group comprised nine females and three males, with a mean age of 53 years.
Conclusions:
- First dorsal web space masses exhibit varied pathologies requiring a meticulous surgical approach.
- Advanced imaging and careful preoperative planning are essential for efficient and accurate surgical intervention in this intricate anatomical region.
