Peripully ganglion cyst

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Non-traumatic pain on palmer aspect of 2nd MCP joint - 2 wks.

Patient Data

Age: about 35 yrs.
Gender: Female
ultrasound
  • site of pain shows an ovoid anechoic lesion is noted abutting A1 pully of 2nd digit.
  • pully shows normal thickness.
  • no tendinosis / tendon tear / tenosynovitis is noted.
  • palmer plate is intact.
  • no joint effusion is noted.
  • no cortical erosion is seen.

Case Discussion

Fingings suggest peripully ganglion cyst.

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