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Spine Surgery Guide

Synovial Cysts Overview

This is a tumefaction which occurs mainly on the anterior or posterior side of the wrist or the anterior side of the fingers. It may develop suddenly or progressively over several months, and is sometimes characterised by periods of disappearance.

The cyst may be painless or, on the contrary, involve pain which is local or shooting over the hand or up towards the elbow.

The synovial cyst is completely benign and in general is only a source of discomfort in terms of aesthetics or due to the compression it exerts in relation to the other anatomical structures (tendons, nerves, vessels).
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Synovial cysts occurring on the wrist are usually linked to the joint, often initially connected to a ligament lesion, resulting in irritation of the joint membrane, then a blister filled with a jelly-like secretion.

When they appear on the fingers, the cysts are often connected to the sheath of the flexor tendon
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Diagnosis is made on consultation. Further examinations are usually of little help other than a simple X-ray assessment.

More in-depth examinations will be carried out, notably on the wrist if a more serious subjacent lesion is suspected.

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This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient.
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