Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, firm, non-tender mass on the dorsal aspect of the left wrist. Symptoms include intermittent aching with wrist extension and cosmetic concern. No history of acute trauma, numbness, or paresthesia in the median or ulnar nerve distribution.
Clinical Examination Findings
Examination of the left wrist reveals a 1.5 cm firm, mobile, transilluminating mass located over the scapholunate interval. No erythema or warmth noted. Wrist range of motion is full but limited at terminal extension due to mass effect. Neurovascular status intact distally.
Treatment Protocol
Conservative management discussed, including observation and activity modification. Options for aspiration or surgical excision were reviewed. Patient opted for [Observation / Aspiration / Surgical Excision] at this time.