Download PDF
J Hand Microsurg
DOI: 10.1055/s-0043-1761228
Surgical Technique

Blind Curettage Technique for Treatment of Mucous Cysts Associated with Heberden Nodes: Description of Operative Technique

Kazufumi Sano
1   Department of Plastic & Reconstructive Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
2   Division of Orthopedic Surgery, Koshigaya Seiwa Hospital, 4-25-5 Yanaka-cho Koshigaya, Saitama, Japan
,
Kazumasa Kimura
2   Division of Orthopedic Surgery, Koshigaya Seiwa Hospital, 4-25-5 Yanaka-cho Koshigaya, Saitama, Japan
3   Department of Orthopedic Surgery, Dokkyo Saitama Medical Center, 2-1-50 Minami-koshigaya Koshigaya, Saitama, Japan
,
Yuichi Ichikawa 
1   Department of Plastic & Reconstructive Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
,
Hiroshi Mizuno
1   Department of Plastic & Reconstructive Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

The standard treatment for mucous cysts with Heberden nodes is excision of the dorsolateral osteophytes and capsule of the distal interphalangeal joint or thumb interphalangeal joint, including the stalk of the cyst. The skin incision varies for cases depending upon the geometry. We propose a surgical method utilizing blind lateral approaches for treating such mucous cysts.

Keywords

Heberden nodes - mucous cysts - osteophytectomy - capsulectomy - cystectomy

Note

This paper was presented at:


• The 60th Annual Meeting, Japanese Society for Surgery of the Hand, Nagoya, April 2017.


• The 12th Congress of Asian Pacific Federation of Societies for Surgery of Hand, Melbourne, March 2020.


• The 64th Annual Meeting, Japanese Society for Surgery of the Hand, Nagasaki, April 2021.




Publication History

Article published online:
13 March 2023

© 2023. Society of Indian Hand Surgery & Microsurgeons. All rights reserved.

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Eaton RG, Dobranski AI, Littler JW. Marginal osteophyte excision in treatment of mucous cysts. J Bone Joint Surg Am 1973; 55 (03) 570-574
    CrossrefPubMedGoogle Scholar
  • 2 Gingrass MK, Brown RE, Zook EG. Treatment of fingernail deformities secondary to ganglions of the distal interphalangeal joint. J Hand Surg Am 1995; 20 (03) 502-505
    CrossrefPubMedGoogle Scholar
  • 3 Lee HJ, Kim PT, Jeon IH, Kyung HS, Ra IH, Kim TK. Osteophyte excision without cyst excision for a mucous cyst of the finger. J Hand Surg Eur Vol 2014; 39 (03) 258-261
    CrossrefPubMedGoogle Scholar
  • 4 Fan Z, Chang L, Su X, Yang B, Zhu Z. Treatment of mucous cyst of the distal interphalangeal joint with osteophyte excision and joint debridement. Front Surg 2022; 8: 767098 . Published January 25, 2022
    CrossrefPubMedGoogle Scholar
  • 5 Jabbour S, Kechichian E, Haber R, Tomb R, Nasr M. Management of digital mucous cysts: a systematic review and treatment algorithm. Int J Dermatol 2017; 56 (07) 701-708
    CrossrefPubMedGoogle Scholar
  • 6 Lowrey C, Shepler TR. Surgical treatment of digital mucous cysts. Presented at the 44 th Annual Meeting of the American Society for Surgery of the Hand: September 13–16, 1989; Seattle, WA
    PubMedGoogle Scholar
  • 7 Bates T, Nuelle JAV, Aden JK, Wind GG, Lynch TB, Shepler TR. Osteophyte-sparing treatment of mucous cysts: case analysis and surgical technique. J Am Acad Orthop Surg Glob Res Rev 2021; 5 (11) 164 . Published November 4, 2021
    PubMedGoogle Scholar
  • 8 Kanaya K, Wada T, Iba K, Yamashita T. Total dorsal capsulectomy for the treatment of mucous cysts. J Hand Surg Am 2014; 39 (06) 1063-1067
    CrossrefPubMedGoogle Scholar
  • 9 Fritz GR, Stern PJ, Dickey M. Complications following mucous cyst excision. J Hand Surg [Br] 1997; 22 (02) 222-225
    CrossrefPubMedGoogle Scholar