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Hand Tumours

1. Ganglia

  1. Dorsal wrist ganglion - arises from scapholunate ligament; may have an intraosseous extension & more than one pedicle.
  2. Volar wrist ganglion - usually arises from radiocarpal or scapholunate joints; Allens test for radial & ulnar artery patency pre-op.
  3. Volar retinacular ganglion - Arise from A1 pulley.
  4. Mucous cyst - usually dorsal DIPJ arising from an arthritic DIPJ in women; remove osteophytes at surgery.

2. Epidermoid Inclusion cyst

  • implantation of epitheloid tissue in deeper layers from penetrating trauma usually.
  • remove complete cyst wall.

3. Foreign body granuloma

4. Calcinosis - scleroderma or degenerative

5. Dejerine-Sottas Disease - localised swelling of peripheral nerve due to hypertrophic interstitial neuropathy; Usually median nerve; Treat with CTD (resection of lesion not possible without resecting nerve)

6. Turret exostosis - traumatic subperiosteal haemorrhage on dorsum.



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