One hundred and twenty-eight children, admitted for active treatment of ganglia around the wrist, hand, ankle or foot are reviewed. The methods of treatment are discussed. The most satisfactory results were obtained by excision (7-2% recurrence) and incision with a tenotome (11% recurrence). The overall recurrence rate was 19%. The ganglia around the wrist had the highest rate of recurrence. (+info)
Cystic, myxomatous adventitial degeneration of a saphenous vein.
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We describe the case of a 75-year-old woman with adventitial cystic degeneration of the great saphenous vein. Involvement of the great saphenous vein has been unreported previously. Intravenous cysts containing mucinous material were found in the great saphenous vein. Histopathologic examination revealed mucus-filled cysts in the adventitia of the vein, and myxomatous degeneration of the adventitial connective tissue was found. (+info)
Multiple extra-articular synovial cyst formation: case report and review of the literature.
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OBJECTIVE: To investigate the clinical manifestations and the treatment strategy of a very rare entity of disease manifesting as multiple extra-articular cystic synovitis with recurrent polyarthralgia. METHODS: A 47 year old male patient with multiple extra-articular synovial cysts was followed up prospectively for 13 years. The clinical manifestations and response to various treatments were recorded. Comparisons are made among the five reported cases (including the present case). RESULTS: Multiple synovial cysts over the tendon sheath and bursae appeared successively with and without antecedent growth of nodules during 13 years of follow up. Although polyarthralgia and high titred rheumatoid factor persisted throughout the course, there were no roentgenographical changes of joints specific to rheumatoid arthritis (RA). The synovial cysts and arthralgia failed to respond to any of the disease modifying anti-rheumatic drugs (DMARDs) prescribed. Systemic involvements such as pulmonary interstitial fibrosis and skin ulcers were also noted, but they were not progressive. CONCLUSIONS: Multiple extra-articular cystic synovitis is an uncommon disease entity closely related to RA. It has been reported exclusively in Japanese subjects and therefore some cultural factors, either genetic or environmental, may contribute to its development. (+info)
Neuroma of the distal posterior interosseous nerve. A cause of iatrogenic wrist pain.
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We describe four women and two men who had persistent wrist pain and reduced function after minor operations on the dorsum, usually for ganglia. They had diffuse pain and paraesthesia over the dorsum of the wrist, thumb, index and middle fingers, which was worse and different from that before operation. They all had temporary relief of symptoms after block of the posterior interosseous nerve with bupivacaine. Later, excision of the terminal branches of the nerve at the wrist cured three patients completely and gave marked improvement in the other three, with no complications. Great care is required at operations on the dorsum of the wrist, but pain from a neuroma can be relieved by local excision. (+info)
Large synovial cyst of the pelvis containing rice bodies. A case report.
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Although synovial pelvic cysts are very uncommon they enter into the differential diagnosis of presacral and ovarian cysts. In the elderly male whom we report, a large cyst arose from the hip and extended during a five year period to involve the entire pelvic cavity. The cyst, which contained a large number of "rice bodies" was excised surgically. (+info)