Treatment of Distal Interphalangeal Ganglion Cysts by Volar Corticosteroid Injection

Weinheimer, Kent T.; Patrick, Nathan; Darowish, Michael

doi:10.1177/1558944717744336

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…CS can additionally lead to side effects such as skin thinning and depigmentation [44]. Weinheimer et al recently showed however that intra-articular corticosteroid injections may be useful in a certain type of ganglion cyst, a distal interphalangeal (DIP) cyst, which is associated with OA [45]. This study used a new technique by injecting 1 ml of dexamethasone 4 mg/ml and 1% lidocaine in equal proportions into the volar flexion crease above the DIP joint; this method allows for increased precision of needle placement into the joint, reduction of side effects associated with steroids, and a success rate equivalent with the literature currently [45].…”

Section: Injection Techniquementioning

confidence: 99%

“…Weinheimer et al recently showed however that intra-articular corticosteroid injections may be useful in a certain type of ganglion cyst, a distal interphalangeal (DIP) cyst, which is associated with OA [45]. This study used a new technique by injecting 1 ml of dexamethasone 4 mg/ml and 1% lidocaine in equal proportions into the volar flexion crease above the DIP joint; this method allows for increased precision of needle placement into the joint, reduction of side effects associated with steroids, and a success rate equivalent with the literature currently [45]. Overall, the use of steroid injections with aspiration should not be recommended for most types of ganglion cysts until further research with different injection techniques is performed and verified.…”

Section: Injection Techniquementioning

confidence: 99%

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Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

et al. 2020

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Introduction: This compilation presents a comprehensive review of the literature on common chronic pain conditions of the hand. It briefly presents these common conditions with their biological background, diagnosis, and common management options. It then presents and compares the latest literature available for injection techniques to treat these diagnoses and compares the available evidence. Methods: A comprehensive literature review was performed in MEDLINE, PubMed, and Cochrane databases from 1996 to 2019 using the terms ''hand pain''

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Section: Injection Techniquementioning

confidence: 99%

Section: Injection Techniquementioning

confidence: 99%

Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

et al. 2020

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“…DMC are often asymptomatic, but occasionally pain and tenderness are experienced, as well as nail deformities and decreased ROM. Although several conservative therapies have been performed, including expression of cystic contents, cryosurgery, CO 2 laser therapy, steroid/sclerosant injection, and infrared coagulation 12–17 , surgical excision management is the first‐line treatment because of its high cure rate 5 .…”

Section: Introductionmentioning

confidence: 99%

Bipedicle Advancement Flap for Skin Coverage after Digital Mucous Cyst Excision: A Retrospective Study of 18 Cases

Meng

et al. 2020

Orthopaedic Surgery

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Objectives To assess the clinical outcomes of using a bipedicle advancement flap to cover the skin defects after digital mucous cyst (DMC) excision. Methods Data for 15 patients (18 fingers) with DMC, admitted to the Department of Orthopaedics and Surgery of the Affiliated Zhongshan Hospital of Dalian University from January 2016 to January 2018, were analyzed retrospectively. This study included 4 men and 11 women, with a mean age of 64 ± 7.8 years (range, 47–77 years). A total of 5 cases involved the thumb, 4 involved the index finger, 5 involved ithe middle finger, and 4 involved the ring finger. Among a total of 18 digital mucous cysts, 7 cases were in the left hand and 11 were in the right hand. Approximately 77.8% of cases had osteophytes. The cysts ranged in size from 0.5–1.0 cm to 0.7–1.2 cm. All patients underwent cyst and osteophyte excision and a bipedicle advancement flap to cover the resultant defect. The same surgical procedure was applied to all patients. Postoperative flap survival, healing, and infection were evaluated. The preoperative and postoperative ranges of motion (ROM) of the distal interphalangeal (DIP) and thumb interphalangeal joints (TIPJ) were recorded. Postoperative patient satisfaction was assessed by the visual analog scale (VAS, 0–10) during follow‐up visits. The Shapiro–Wilk test was used to determine whether the data for the difference between the preoperative and postoperative ROM of the DIP/TIPJ were normally distributed or not. The homogeneity of variance was expressed as mean ± standard deviation. A paired t‐test was used to compare the preoperative and postoperative ROM of the DIP/TIPJ. Results The patients were followed up for 20 ± 6.0 months (range, 12–36 months). All the flaps survived after surgery, and the incisions healed well. The sutures were removed 2 weeks postoperatively. No infections occurred and there was no cyst recurrence at follow up. After systemic physical therapy and functional exercises, the ROM of all the fingers was restored to the preoperative ROM by 1 month after surgery. The scores for patient satisfaction with surgery by means of the VAS were 8.5 ± 1.0 points, 2.8 ± 1.4 points, 2.0 ± 1.6 points, 1.5 ± 1.2 points, and 1.1 ± 1.3 points preoperatively, and 1, 3, 6, and 12 months postoperatively, respectively. The data for the difference between preoperative and postoperative VAS scores were normally distributed. There were significant differences between the preoperative and postoperative VAS scores. The preoperative DIP/TIPJ ROM was 71.7° ± 14.0°, and the postoperative ROM at 1, 3, 6, and 12 months were 69.3° ± 15.3°, 70.4° ± 12.7°, 71.5° ± 15.6°, and 71.8° ± 15.6°, respectively. The data for the difference between preoperative and postoperative ROM of the DIP/TIPJ were normally distributed. No difference was found between the preoperative and postoperative ROM. Conclusion The bipedicle advancement flap provides a simple and effective technique for covering skin defects following DMC excision.

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CT-guided lumbar facet cyst rupture and corticosteroid injection: technique, approach, and procedural and clinical success rates

Mercer,

Vicentini,

Staffa

et al. 2023

Skeletal Radiol

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Treatment of Distal Interphalangeal Ganglion Cysts by Volar Corticosteroid Injection

Cited by 6 publications

References 18 publications

Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

Injection Techniques for Common Chronic Pain Conditions of the Hand: A Comprehensive Review

Bipedicle Advancement Flap for Skin Coverage after Digital Mucous Cyst Excision: A Retrospective Study of 18 Cases

CT-guided lumbar facet cyst rupture and corticosteroid injection: technique, approach, and procedural and clinical success rates

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