Mucous Cyst (ganglion of a finger joint)

Some months ago an oval swelling of approx. 8 mm in diameter developed at my finger close at the joint nearest the fingernail.

ganglion or mucous cyst
finger ganglion

The change is represented in accompanying illustration.

 

Which illness exists at my finger?

I assume, you suffer under a finger cyst. (mucous cyst)
Digital mucous cysts are usually small oval fluid-filled sacs, that form on fingers and rarely at the toes. 

The mucous cyst is a type of a ganglion. Most mucous cysts appear between the last fingerjoint and the fingernail.

My fingernail changed  since existence of the cyst. Exists a connection between the cyst and the deformed fingernail?

Yes! Typically mucous cyst are not symptomatic. If the digital mucous cyst ist located near the nail plate, longitudinal grooving of the nail is a common problem caused by mucous cyst. In some cases, grooving ot the nail may precede the clinical manifestation of the mucous cyst by months.

Cause of a finger cyst:

Why do I have a finger cyst?

Mucous finger cysts often found in patients with osteoarthritis of the last finger joint. The joint near the end of the finger calls in the medicine DIP – joint. Together with the osteoarthritis we often see Heberden’s node at the last joint of the finger.

Physicians do not know accurately, why a finger cyst develops. One theory suggests, that cysts result from a damage of the joint capsule. In osteoarthritis the joint capsule damage can be caused by small bone tabs (Bone edges, bony spurs), often found in osteoarthritis.

In such a case, fluid move from the last joint of the finger into the mucous cyst. Synovial fluid is translucent. Therefore most mucous cysts look clear or flesh-colored.

In a minority of cases a antecedent trauma of the finger has been documented. (Especially in younger patients)

Symptoms of  finger cysts:

Which symptoms cause finger cysts?

Digital mucous cysts are often asymptomatic. But some patients feel pain in the cyst (or in the neighbouring finger joint). Larger cysts can press on neighbouring small finger nerves. Patients with larger cysts experience tenderness and a decreased range of motion at the joint nearby the cyst.

digital cyst near the nail
mucous cyst near the nail matrix

If the mucous cyst is located near the fingernail, patients often notice a groove in the fingernail just above the mucous cyst. This nail ridging is caused by pressure on the nail matrix.

Patients with lager cysts also complain about a disfiguring appearance.

if a mucous cyste bursts, usually a gelatinious fluid empties.
Patients then often report on an improvement of the complaints.

Note:

In concluding this informational paper I would like to encourage you to address all questions you may have in connection with a finger cyst (finger ganglion) with your attending physician as this document does not constitute a replacement to a personal examination or consultancy through your doctor.

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