Presentation
Painful nodule at 3rd metacarpal head region. Referred for ultrasound to rule out / rule in ganglion.
Patient Data
Age: 35 yrs
Gender: Female
From the case:
Peripully ganglion cyst
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An anechoic lesion ( 4 x 3 mm ) is noted abutting A1 pully. It shows imperceptible wall. A1 pully shows normal thickness. No tendon thickening / tenosynovitis is noted. Palmer plate is intact. No joint effusion or cortical erosion is noted. No flexor tendon tear is seen.
Case Discussion
Findings favor peripully ganglion cyst.