Review Question - QID 2880

This child has a ganglion cyst on the dorsal aspect of his wrist. Imaging provided shows a well-marginated, homogenous signal intensity mass consistent with a ganglion cyst. Physical examination findings of a mass transilluminating corroborate the MRI findings of a ganglion cyst. Performing an Allen's test to evaluate radial and ulnar artery collateral blood flow is especially important when evaluating ganglion cysts on the volar aspect of the wrist as they are often adjacent to the radial artery. Wang et al. peformed a Level 4 review of 14 children with hand and wrist ganglion cysts and found that 79% of these cysts resolved spontaneously within 1 year. Autologus bone marrow aspirate injection is a treatment option for unicameral bone cysts and N-Butyl-Cyanoacrylate injections have been described for treatment of hemangiomas. Referral to an orthopaedic oncologist is not indicated.