Ganglion

Firm cystic lumps associated with joints or tendon sheaths.

Management

• 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)