5th Finger Flexor Tendon Sheath Ganglion Cyst: Orthopedic Case of the Day

Dr. Steve Meyers
September 20, 2023

5th finger flexor tendon ganglion cyst

Orthopedic case of the day:
5th finger flexor tendon sheath ganglion cyst.

24 year old female recently started working as a fry cook. With the repetitive grasping, she developed some sharp pain at the base of her 5th finger. Pain has been progressive and she has noticed a small, hard lump on the palm near the base of the 5th finger.

Ultrasound imaging revealed a 3 millimeter cyst adjacent to the tendon consistent with a flexor tendon ganglion. After numbing the area, I poked a couple of holes in the cyst and then injected a touch of steroid. This treatment will resolve >50% of these cysts.

The tendon moves back and forth with passive range of motion of the finger. The cyst (black circle) is stationary.

Posted by Steve Meyers, MD – Sports & Regenerative Orthopedics on Wednesday, September 20, 2023



24 year old female recently started working as a fry cook. With the repetitive grasping, she developed some sharp pain at the base of her 5th finger. Pain has been progressive and she has noticed a small, hard lump on the palm near the base of the 5th finger.

Ultrasound imaging revealed a 3 millimeter cyst adjacent to the tendon consistent with a flexor tendon ganglion. After numbing the area, I poked a couple of holes in the cyst and then injected a touch of steroid. This treatment will resolve >50% of these cysts.

The tendon moves back and forth with passive range of motion of the finger. The cyst (black circle) is stationary.

SteveMeyersMD.com
Texas Health Care Bone & Joint Clinic
1651 W Rosedale #200
Ft Worth, TX. 76104
817.335.4316

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