Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, non-tender mass on the dorsal aspect of the right wrist. Onset was insidious, with no history of acute trauma. Patient reports intermittent aching discomfort exacerbated by repetitive wrist extension. No associated numbness, tingling, or distal neurovascular deficits reported.
Clinical Examination Findings
Right wrist examination reveals a firm, well-circumscribed, mobile mass measuring [X] cm, located over the scapholunate interval. The mass is transilluminant. Wrist range of motion is full but limited at end-range extension due to mass effect. Allenโs test is negative. No signs of infection, erythema, or overlying skin changes.
Treatment Protocol
Conservative management discussed, including observation and activity modification. Aspiration of the cyst was performed under sterile conditions, yielding [X] ml of clear, gelatinous fluid. Corticosteroid injection [e.g., Triamcinolone 40mg] administered into the cyst cavity. Patient advised on wrist splinting for 7-10 days and follow-up as needed.