Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, non-tender mass over the [dorsal/volar] aspect of the wrist. Onset is [gradual/acute], with intermittent pain exacerbated by wrist extension/flexion. No history of trauma, numbness, or paresthesia. Mass size fluctuates with activity.
Clinical Examination Findings
Examination reveals a [firm/fluctuant], well-circumscribed, mobile mass measuring [X] cm. Transillumination test is [positive/negative]. No overlying skin changes or erythema. Wrist range of motion is [full/restricted] with pain at end-range. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated including activity modification, wrist splinting, and NSAIDs. Discussed options for aspiration/injection versus surgical excision if symptoms persist. Patient advised on potential for recurrence.