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Case 18: Wrist swelling

This lady had a lump on the back of her wrist which was getting bigger and more painful.




1. What is the likely diagnosis?

Dorsal wrist ganglion. Clinical examination would confirm this, showing, a soft fluctuant mass, transillumination, no punctum, and usually fixed to the underlying dorsal wrist capsule. Sometimes they can arise from the extensor tendon sheaths.



Ganglionic Cysts of the Wrist----Wheeless' Textbook of Orthopaedics