Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, firm, non-tender mass on the volar aspect of the left wrist. The patient reports intermittent aching pain exacerbated by wrist flexion and repetitive activity. No history of acute trauma, numbness, or paresthesia in the median nerve distribution. Mass size has remained stable/fluctuated over the past [insert duration].
Clinical Examination Findings
Left wrist examination reveals a well-circumscribed, firm, cystic mass located radial to the flexor carpi radialis (FCR) tendon. The mass is transilluminant and non-pulsatile. No erythema, warmth, or skin changes noted. Range of motion of the left wrist is full but limited by discomfort at end-range flexion. Neurovascular status is intact distally; capillary refill <2 seconds.
Treatment Protocol
Conservative management initiated with activity modification and wrist splinting for symptom relief. Discussed options for aspiration vs. surgical excision. If symptoms persist, patient may consider ultrasound-guided aspiration or formal surgical excision of the ganglion cyst.