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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Mucous Cysts - DIP Joint Ganglion

Ganglion Cysts

A 62-year-old female presents with a slowly enlarging, soft, translucent swelling on the dorsum of her right index finger distal to the DIP joint. She notes a longitudinal groove in her fingernail that has developed over the past 6 months. Radiographs demonstrate osteophytes at the DIP joint consistent with osteoarthritis. Regarding mucous cysts:

Mark each as TRUE or FALSE

A

Mucous cysts (digital myxoid cysts) are ganglion cysts arising from the DIP joint or DIPJ capsule; t...

B

Nail deformity occurs due to pressure on the germinal matrix from the cyst; the classic finding is a...

C

Mucous cysts have a high malignant potential and require immediate excision; the cyst contains purul...

D

Non-operative treatment options include observation, aspiration, and repeated puncture; recurrence r...

E

Surgical excision should include the cyst, stalk, and underlying osteophytes through a dorsal approa...

Answer the questions to see explanations

Click T (True) or F (False) for each option