Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, non-tender mass over the dorsal/volar aspect of the left wrist. The mass is reported to fluctuate in size, occasionally increasing with wrist activity and decreasing with rest. No history of acute trauma, numbness, paresthesia, or constitutional symptoms.
Clinical Examination Findings
Left wrist examination reveals a well-circumscribed, firm, cystic mass measuring [X] cm. The mass is transilluminant, non-pulsatile, and fixed to the underlying joint capsule/tendon sheath. No overlying skin changes or erythema. Range of motion is full but may be limited by mass effect at extreme flexion/extension. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated with observation and activity modification. If symptomatic, options include aspiration with or without corticosteroid injection, or surgical excision. Patient counseled on high recurrence rates associated with non-surgical interventions.