Mucous Cysts of the Fingers

Surgical treatment of mucous cysts by subcutaneous excision and osteophyte resection: Results in 68 cases at a mean 6.63 years’ follow-up

“…Our results are better than those of two published series where skin grafting or an advancement flap were performed without joint debridement, as the reported recurrence rate was 3.3% [2] and 8.3% [13]. The authors who performed a graft or a flap without systematic joint debridement [5,8,10,12,14,15] also had a higher recurrence rate, up to 28% [14].…”

“…Mucous cysts are a relatively common condition among mature patients, occurring near a distal finger joint in arthritic fingers [1][2][3][4][5][6][7]. These cysts are usually small and firm with gelatinous content and located near the distal interphalangeal (DIP) joint of the long fingers and the interphalangeal (IP) joint of the thumb (Fig.…”

“…In the literature, in addition to cyst excision, a rotationadvancement flap or a skin graft is advocated by many authors to minimize recurrence, with or without osteophyte debridement [2,5,8,[10][11][12][13][14][15][16].…”

The Zitelli Bilobed Flap on Skin Coverage After Mucous Cyst Excision: A Retrospective Cohort of 33 Cases

“…1 The recurrence rate after cryosurgical destruction ranges from 13% to 40% 9,10 whereas surgical cyst excision without osteophyte excision has a recurrence rate from 9.5% to 28%. 5,24,25 Cyst excision with DIP osteophyte excision is associated with a recurrence rate from 0% to 3.5%. 1,7,26e31 Joint debridement without cyst excision has been reported to be associated with a recurrence rate of 0% and with residual nail deformity in 10% of cases, but patients must be educated after surgery to expect slow resolution of the cyst.…”

Mucous Cysts

“…7 Constant noted that 4 of 42 cysts recurred following simple excision. 10 Cyst excision with routine distal interphalangeal joint osteophyte excision: Rizzo reviewed 54 patients a minimum of 2 years after cyst excision with routine removal of osteophytes. Thin skin was debrided and allowed to heal by secondary intention.…”