scholarly journals Proximal nail fold flap for digital mucous cyst excision

2016 ◽  
Vol 63 (3.4) ◽  
pp. 278-280 ◽  
Author(s):  
Yutaro Yamashita ◽  
Hiroaki Nagae ◽  
Ryosuke Yamato ◽  
Hiromichi Sedo ◽  
Yoshiro Abe ◽  
...  
Keyword(s):  
2013 ◽  
Vol 39 (3) ◽  
pp. 258-261 ◽  
Author(s):  
H.-J. Lee ◽  
P.-T. Kim ◽  
I.-H. Jeon ◽  
H.-S. Kyung ◽  
I.-H. Ra ◽  
...  

Osteophyte excision is a mainstay of treatment for mucous cyst combined with Heberden’s node in a distal interphalangeal joint or in an interphalangeal joint of the thumb. The aim of this study was to evaluate the results of osteophyte excision without cyst excision for the treatment of a mucous cyst combined with Heberden’s node. The medical records of 37 patients (42 cases) with a mucous cyst with Heberden’s node were retrospectively reviewed. Thirty-eight of 40 cases with available pre-operative simple radiographs showed evidence of joint arthrosis. A T-shaped skin incision of the joint capsule between the extensor tendon and lateral collateral ligament was used. Osteophyte excision without cyst excision was performed. All cysts, except one, regressed without recurrence or a skin complication after osteophyte excision, but eight cases showed post-operative pain and loss of range of motion. Osteophyte excision without cyst excision may be a good treatment choice for mucous cyst of the finger.


2017 ◽  
Vol 42 (7) ◽  
pp. 506-510 ◽  
Author(s):  
Isidro Jiménez ◽  
Pedro J. Delgado ◽  
Ricardo Kaempf de Oliveira

2020 ◽  
Author(s):  
Yan‐ming Ma ◽  
Xiang‐jun Meng ◽  
Yun Su ◽  
Zuo‐fa Yan ◽  
Quan‐sheng Shao ◽  
...  

1997 ◽  
Vol 22 (2) ◽  
pp. 222-225 ◽  
Author(s):  
G. R. FRITZ ◽  
P. J. STERN ◽  
M. DICKEY

Eighty-six mucous cysts in 79 patients were surgically excised. Follow-up was carried out at an average of 2.6 years. Fifteen digits (17%) had a residual loss of extension of 5 to 20° at the IP or DIP joints. One patient developed a superficial infection and two developed a DIP pyarthrosis, which eventually required DIP arthrodesis. Nail deformities were present in 25 of 86 digits preoperatively (29%), 15 of which resolved after surgery (60%). Four of 61 digits developed a nail deformity which was not present preoperatively (7%). Three of 86 digits (3%) developed recurrence. Other complications included persistent swelling, pain, numbness, stiffness, and radial or ulnar deviation at the DIP joint. We recommend that patients be informed preoperatively of the potential risks of decreased range of motion, persistent swelling and pain, infection, recurrence, and persistent or postoperatively acquired nail deformity.


2020 ◽  
Author(s):  
Yanming Ma ◽  
Xiangjun Meng ◽  
Yun Su ◽  
Zuofa Yan ◽  
Quansheng Shao ◽  
...  

Abstract Background Many patients have skin defects after digital mucous cyst (DMC) excision, and this study aimed to assess the clinical outcomes of using a bipedicle advancement flap to cover such defects.Methods From January 2016 to January 2018, DMCs on 18 fingers of 15 patients (4 males and 11 females, with a mean age of 64 years) were treated with cyst and osteophyte excision and a bipedicle advancement flap to cover the resultant defect in this retrospective study. Postoperative flap survival, healing and infection were evaluated. The pre- and postoperative ranges of motion (ROMs) of the distal interphalangeal (DIP) or thumb interphalangeal (IP) joints were recorded. The patients were followed up for 12-36 months (mean, 20 months).Results All the flaps survived, the incisions healed well without infection, and no cyst recurrence occurred. The postoperative ROM of the affected fingers was restored to the preoperative ROM by two months after surgery. No difference was found between the preoperative and postoperative ROMs.Conclusions The bipedicle advancement flap is a simple and effective technique for covering skin defects following DMC excision.


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