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Digital mucous cyst marsupialization: Surgical technique.
Irene J Pien1, Chaitanya S Mudgal1
1Massachusetts General Hospital, Department of Orthopedic Surgery, Hand and Arm Center, 55 Fruit Street Yawkey 3, Boston, MA, 02114, USA.
Journal of Hand and Microsurgery
|September 5, 2024
Summary
Digital mucous cysts, often linked to arthritis, can now be treated with a novel surgical technique. This method addresses the cyst and bone spurs while preserving skin, offering good outcomes.
Area of Science:
- Hand surgery
- Dermatology
- Orthopedics
Background:
- Digital mucous cysts are benign synovial fluid collections.
- They commonly occur with arthritic degeneration of the distal interphalangeal joints (DIPJs).
- Treatment options vary, lacking a consensus on the optimal approach.
Purpose of the Study:
- To present a novel surgical technique for digital mucous cysts.
- To demonstrate a reproducible and adaptable method for addressing cyst pedicles and osteophytes.
- To highlight outcomes preserving overlying skin, even when compromised.
Main Methods:
- A detailed surgical approach is presented.
- The technique focuses on accessing the cyst pedicle and underlying osteophyte.
- Emphasis is placed on preserving the integrity of the overlying skin.
Main Results:
- The presented surgical technique yields good outcomes.
- It is effective even with compromised or involved dermis and epidermis.
- The method is reproducible and readily adaptable.
Conclusions:
- A reproducible surgical technique for digital mucous cysts is described.
- This approach effectively treats the cyst pedicle and associated osteophytes.
- Skin preservation is achieved, leading to favorable patient outcomes.
