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Synovial cyst presenting as forearm mass

S R Weiner, L Szydlo, P Fan

    Postgraduate Medicine
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    A painless forearm mass in a rheumatoid arthritis patient was diagnosed as an antecubital synovial cyst. Corticosteroid injection successfully resolved the cyst, avoiding surgery.

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    Area of Science:

    • Rheumatology
    • Orthopedics
    • Medical Imaging

    Background:

    • Rheumatoid arthritis (RA) commonly affects the hands and feet.
    • Synovial cysts can develop in patients with inflammatory joint conditions like RA.
    • Antecubital masses may present as a diagnostic challenge.

    Observation:

    • A 43-year-old male RA patient presented with a painless left forearm mass.
    • Ultrasonography and arthrography confirmed an antecubital synovial cyst.
    • Arthrocentesis yielded serous fluid from the elbow joint.

    Findings:

    • Intraarticular corticosteroid injection was administered.
    • Complete resolution of the forearm mass occurred within three days.
    • Surgical intervention was successfully avoided.

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    Implications:

    • Non-surgical management with corticosteroids can be effective for antecubital synovial cysts in RA patients.
    • Early diagnosis via imaging is crucial for appropriate treatment.
    • This approach offers a minimally invasive alternative to surgery, improving patient outcomes.