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Intratendinous Ganglion Cyst of the Extensor Indicis: A Case Report.
João Dias1, Irene Pinto1, Diogo Costa2
1Physical Medicine and Rehabilitation, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, PRT.
Cureus
|December 29, 2023
Summary
Intratendinous ganglion cysts are rare hand lesions. Surgical excision can be effective, but recurrence is possible, as seen in this extensor indicis case.
Area of Science:
- Orthopedics
- Radiology
- Hand Surgery
Background:
- Intratendinous ganglion cysts are rare, benign soft-tissue lesions with unclear causes.
- Clinical diagnosis can be challenging due to subtle symptoms and functional impairment.
Observation:
- A 50-year-old female presented with right-hand swelling and pain.
- Ultrasound revealed an intratendinous ganglion cyst of the extensor indicis measuring 9 x 4 mm.
Findings:
- The cyst was surgically excised via enucleation.
- The patient experienced initial recovery and returned to work.
- A smaller, asymptomatic recurrence was noted six months post-surgery.
Implications:
- Imaging modalities like ultrasound are crucial for diagnosing intratendinous lesions.
- While surgical excision can be successful, monitoring for recurrence is important.
- Rehabilitation plays a role in restoring hand function after treatment.
