Presentation
Small mass sensation over the 3rd metacarpophalangeal joint region palmar aspect of the left hand for one year. No trauma. Normal free finger movements.
Patient Data
Age: 35 years
Gender: Female
From the case:
Peripulley ganglion cyst (A1 pulley)












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There is a 4 x 7 mm fluid equivalent signal thin-walled cyst abutting the A1 pulley of the 3rd metacarpophalangeal joint.
There is no tendon thickening/tenosynovitis/flexor tendon tear.
Palmar plate is intact.
There is no metacarpophalangeal joint effusion.
Case Discussion
MRI findings were suggestive of peri-A1 pulley ganglion cyst of the 3rd MCP joint on the palmar side.