Treatment of Mucous Cysts of the Toes

Calder, James; Buch, Barbara D.; Hennessy, Michael S.; Saxby, Terence S.

doi:10.1177/107110070302400607

Cited by 4 publications

(1 citation statement)

References 12 publications

(32 reference statements)

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“…1,28 There was a report that 1 of 15 cases of mucous cysts of the IP joint of the first toe was symptomatic and was thus treated with operative excision. 9 Four of 27 cases of mucous cysts of the first toe IP joint or ganglion cyst of the ankle were treated with operative excision. 26 Recent reports have described mucous and similar cysts caused by repetitive stress or trauma from ill-fitting shoes.…”

Section: Introductionmentioning

confidence: 99%

Republication of “Mucous Cyst at the Interphalangeal Joint of the First Toe Caused by Contact Pressure With the Second Toe due to Hallux Valgus: A Case Report”

Tonogai

Yamasaki

Nishisho

et al. 2023

Foot & Ankle Orthopaedics

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A 77-year-old woman presented with a mucous cyst on the lateral aspect of the interphalangeal joint of the first toe caused by contact pressure with the second toe from hallux valgus. She complained of discomfort and discharge from the left first toe for approximately 4 months. Physical examination showed the second toe pressing strongly against the first toe due to hallux valgus and discharge from the skin on the lateral aspect of the interphalangeal joint of the first toe. Magnetic resonance imaging showed a cystic lesion at the same level. The patient underwent a modified scarf osteotomy of the first metatarsal for hallux valgus to resolve the contact pressure between the toes—considered the cause of the mucous cyst—and resection of mucous cyst. Forefoot weight bearing was allowed 6 weeks after surgery. As of 1 year after surgery, she has had no recurrence of the cyst. The score on the Japanese Society for Surgery of the Foot hallux metatarsophalangeal-interphalangeal scale improved from 59/100 points to 92/100. This outcome suggests that hallux valgus correction should be considered when a mucous cyst is associated with contact pressure due to a hallux valgus deformity. To the best of our knowledge, there are no previous reports of a mucous cyst caused by contact pressure between the first toe and second toe due to hallux valgus.

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Section: Introductionmentioning

confidence: 99%

Republication of “Mucous Cyst at the Interphalangeal Joint of the First Toe Caused by Contact Pressure With the Second Toe due to Hallux Valgus: A Case Report”

Tonogai

Yamasaki

Nishisho

et al. 2023

Foot & Ankle Orthopaedics

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Operative outcome of mucous cyst of lesser toes: A comparison between cyst excision with osteophytectomy and distal interphalangeal fusion

Choi

Lee

Jung

et al. 2023

Foot and Ankle Surgery

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Management of digital mucous cysts: a systematic review and treatment algorithm

et al. 2017

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Digital mucous cysts (DMC) are benign, highly recurrent lesions of the digits. To date, there is still no treatment agreement on the treatment of DMC. Herein, we review available data on treatment modalities, including both surgical and nonsurgical techniques, and to provide a practical algorithm for the management of DMC. A systematic review was conducted using MEDLINE, EMBASE, and Cochrane databases. Articles studying the management of DMC were included in this review. A total of 40 articles were included in the review. The five most frequently used treatments for DMC were surgery (n = 849), expression of cyst content (n = 132), sclerotherapy (n = 119), corticosteroid injection (n = 108), and cryotherapy (n = 103). Surgery yielded the highest cure rate among all treatment modalities (95%) compared to sclerotherapy (77%), cryotherapy (72%), corticosteroid injection (61%), and expression of cyst content (39%) (P < 0.001). Surgery should be considered as the first-line treatment for DMC. Second-line treatments include sclerotherapy and cryotherapy. Third-line treatments include corticosteroid injections, expression of cyst content, and less-studied modalities. Surgery showed the highest cure rates. Future adequately designed randomized controlled trials are warranted to compare different treatment modalities.

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Treatment of Mucous Cysts of the Toes

Cited by 4 publications

References 12 publications

Republication of “Mucous Cyst at the Interphalangeal Joint of the First Toe Caused by Contact Pressure With the Second Toe due to Hallux Valgus: A Case Report”

Republication of “Mucous Cyst at the Interphalangeal Joint of the First Toe Caused by Contact Pressure With the Second Toe due to Hallux Valgus: A Case Report”

Operative outcome of mucous cyst of lesser toes: A comparison between cyst excision with osteophytectomy and distal interphalangeal fusion

Management of digital mucous cysts: a systematic review and treatment algorithm

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