Ganglion

Question 1

Ganglion is?

Answer 1

Firm cystic lumps associated with joints or tendon sheaths.

Question 2

Management

Answer 2

Can be left to wait and see

Do not ‘bang with a Bible’

Needle aspiration and steroid injection:

• –insert 21 g needle with 5 mL syringe
• –aspirate some of contents and change syringes
• –inject 0.5 mL corticosteroid (depot)
• –can be repeated with 0.25 mL in a few wks

Surgical excision (can be difficult)