Digital flexor tendon sheath ganglions

Case contributed by Dr Roberto Schubert

Presentation

Firm, moderately tender masses at the 3rd and 5th finger. Normal appearing skin.

Patient Data

Age: 60
Gender: Female

Smoothly marginated lesions at the proximal phalanges III (mediallly) and V (laterally) with fluid equivalent signal, each adjacent to the respective flexor sheaths.

Case Discussion

Ganglion cysts of the finger flexor tendons occur more often in women (2.6:1). The middle finger is most commonly affected. The are located at the A1 and A3 pulleys in 69% of cases1. This is why they are also referred to as annular ligament cysts. On ultrasound, more than half show complex echogenicity2.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.