There is a lump on the back of the hand, wrist, palm or instep with little pain or other discomfort. Some people who grow in carpal tunnel or thenar may have neurological symptoms due to the compression of the nerve by the cyst. The lump is generally round or hemispherical, with smooth surface, no adhesion to skin, elasticity when touched, and discomfort when pressed. This is the clinical symptom of tendon sheath cyst.
Tendon sheath cyst is a disease caused by connective tissue degeneration of tendon sheath in joint on Friday. The capsule wall is dense fibrous connective tissue, which contains colorless, transparent or orange-yellow, pale yellow jelly-like mucus. The cystic cavity is mostly single cavity, and some can also be multi-cavity. Most of them are young and middle-aged, with more women than men. It is more common in the back of wrist, followed by wrist palm, palm, finger palm and instep, and it is also easy to occur on both sides of knee joint and behind knee joint.
The cause of this disease is unknown. At present, it is mainly believed that local malnutrition may lead to joint cysts, ligaments and connective tissue degeneration on the tendon sheath. The etiology of some patients is related to long-term chronic strain. Some occupations that require long-term repetitive joint strain activities, such as typists, bank tellers or jobs that require long-term computer operation, will induce or aggravate this disease.
Common symptoms of tendon sheath cyst of wrist
1. There are local lumps on the wrist, palm, elbow or instep, which grow slowly and cause little pain or discomfort. Individuals who occur in the carpal tunnel or thenar of the palm can compress the median nerve or ulnar nerve, resulting in corresponding sensory and motor disorders.
3. Patients with carpal tendon sheath cyst will feel obvious morning stiffness after getting up every day. Usually, the morning stiffness of joints is the most obvious after getting up, but the symptoms of frequent activities will not be obviously relieved, and the affected joints will swell or even rebound, and promote blood circulation to remove blood stasis and eliminate soreness.
How to treat wrist tendon sheath cyst?
1, mirabilite 60g, garlic 60g. * * * Mash it like mud for later use. The amount of mirabilite in swollen joints and the back of the hand is larger than that in garlic (6: 4) and smaller than that in popliteal fossa and knee joint (4: 6). When in use, apply a layer of vaseline to the skin to prevent injury, then apply the medicine to the swollen part and wrap it with cloth. If the skin feels fever and pain after 2-4 hours of application, take out the medicine and wipe off vaseline, and then apply it half an hour later.
4. If the cyst is small and asymptomatic and does not affect the appearance, you can wait and see. If the cyst is large and symptomatic, non-surgical treatment is feasible. Recurrent patients can be treated again.
5. Patients should pay more attention to the protection and observation of the affected area and eat less spicy food.
6. If you use the computer for a long time, rest for 5 to 10 minutes every hour. During the break, you should do indoor sports and exercise your joints regularly.
7. This disease generally does not need medication. Hydrocortisone acetate or prednisolone can be used for intracapsular injection.
8, need surgery, then choose the appropriate antibiotics after surgery. Some hospitalized patients need fluids.
Who is prone to wrist tendon sheath cyst?
1, patients with tendon sheath cysts are mostly young adults, mostly women. Contemporary young people who have been dealing with computers for a long time, holding the mouse for too long or holding the mouse in an incorrect posture will lead to the injury of synovial cavity of hand joints, which will lead to diseases. Women, especially professional women, often wear high heels, which is very easy to cause soft tissue injury of feet, so it is a high-risk group of this disease.
People who have been engaged in computer work for a long time are prone to get this disease. For computer office workers, holding the mouse for too long or holding the mouse in an incorrect posture will lead to the injury of synovial cavity of hand joints, thus suffering from tendon sheath cyst.
3. Diabetic patients are more likely to suffer from tendon sheath cysts.