PURPOSE: To evaluate the results of a single surgeon's treatment of mucoid cysts, comparing outcomes between injection and surgery. METHODS: One hundred thirty-four cysts were treated, with a minimum 2-year follow-up period. Thirty-one patients had nail ridging or deformity at presentation. Eighty patients had multiple soft-tissue punctures into the cyst with a 25-gauge needle and injection with local anesthetic and steroid. Fifty-four patients had surgical excision and joint debridement. RESULTS: In the injection group, complete resolution of the cyst occurred in 48 cases (60%). Among the 32 that recurred, repeat injections were performed in 8 cases; 3 resolved. No recurrences were noted in the surgery group. Nail ridging resolved after surgery in 25 digits; the remaining 6 digits had partial improvement or persistent ridging. Five infections occurred and were treated successfully with antibiotics (4) or debridement (1), or both. CONCLUSIONS: Aspiration and injection was convenient but had a 40% recurrence rate. Surgery provided definitive treatment with no major long-term problems.
PURPOSE: To evaluate the results of a single surgeon's treatment of mucoid cysts, comparing outcomes between injection and surgery. METHODS: One hundred thirty-four cysts were treated, with a minimum 2-year follow-up period. Thirty-one patients had nail ridging or deformity at presentation. Eighty patients had multiple soft-tissue punctures into the cyst with a 25-gauge needle and injection with local anesthetic and steroid. Fifty-four patients had surgical excision and joint debridement. RESULTS: In the injection group, complete resolution of the cyst occurred in 48 cases (60%). Among the 32 that recurred, repeat injections were performed in 8 cases; 3 resolved. No recurrences were noted in the surgery group. Nail ridging resolved after surgery in 25 digits; the remaining 6 digits had partial improvement or persistent ridging. Five infections occurred and were treated successfully with antibiotics (4) or debridement (1), or both. CONCLUSIONS: Aspiration and injection was convenient but had a 40% recurrence rate. Surgery provided definitive treatment with no major long-term problems.
Authors: Taylor Bates; Julia A V Nuelle; James K Aden; Gary G Wind; Thomas B Lynch; Thomas R Shepler Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2021-11-04
Authors: Ilse-Gerlinde Sunk; Love Amoyo-Minar; Birgit Niederreiter; Afschin Soleiman; Franz Kainberger; Josef S Smolen; Daniel Aletaha; Klaus Bobacz Journal: Arthritis Res Ther Date: 2022-09-29 Impact factor: 5.606