Document Detail

Complications following mucous cyst excision.
MedLine Citation:
PMID:  9149992     Owner:  NLM     Status:  MEDLINE    
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 degrees 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.
G R Fritz; P J Stern; M Dickey
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  22     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-07-10     Completed Date:  1997-07-10     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  222-5     Citation Subset:  IM    
Cincinnati Hand Surgery Consultants, Ohio, USA.
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MeSH Terms
Finger Joint / physiopathology
Fingers / surgery*
Middle Aged
Mucocele / surgery*
Nail Diseases / epidemiology
Postoperative Complications / epidemiology*,  physiopathology
Range of Motion, Articular / physiology
Thumb / surgery*

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