Houston Methodist. Leading Medicine

Wrist FAQ

Question:

I found out the funny bump on the back of my wrist is a ganglion. The doctor told me it's a benign tumor that doesn't have to be removed. Is this good advice?

Answer:

Ganglion cysts are very common in the wrist or on the fingers. No one knows for sure what causes them. They may be linked with overuse of a joint. Ganglia seem most common in music performers and athletes who use the wrist repetitively or strenuously.

If the cyst isn't bothering you, one treatment option is to leave it alone. In half the cases, it will go away by itself. If it creates problems (pain or loss of wrist/hand function), then it can be aspirated or excised. Aspiration means a long, thin needle is inserted into the cyst and fluid is drawn out. Excision is the surgical removal of the cyst.

You should be aware that recurrence is high with aspiration. Even with removal, ganglion cysts often come back but the recurrence rate is much lower. Hand surgeons are now investigating the use of an open incision versus arthroscopic surgery to remove ganglion cysts. They are particularly interested in whether the recurrence rate is different between the two surgical techniques.

A study was recently published comparing recurrence rates for these two surgical approaches. No difference was found in rates of post-operative residual pain or recurrence. More studies are needed to provide surgeons with the information they need about outcomes with various approaches to this problem.

Most experts agree with the wait-and-see approach suggested by your physician. If the cyst grows or causes further problems, aspiration or excision is always available. Lana King, MD, et al. Arthroscopic Versus Open Dorsal Ganglion Excision: A Prospective, Randomized Comparison of Rates of Recurrence and of Residual Pain. In The Journal of Hand Surgery. April 2008. vol. 33A. No. 4. Pp. 471-475.

*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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