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Musculoskeletal38 papers

Ganglion of yaws

Last edited: 4/14/2026

Overview

Ganglions of yaws are benign cystic lesions that can occur in various locations including wrists, muscles, feet, and bones, often presenting as soft tissue masses without systemic involvement characteristic of yaws itself 1235.

Diagnosis

  • Clinical Presentation: Typically identified by physical examination as a solitary, painless, soft tissue mass 13.
  • Imaging: Ultrasound or MRI can help confirm the cystic nature and location, distinguishing from other lesions 3.
  • Pathological Examination: Routine pathological examination is generally not necessary for wrist ganglions due to high diagnostic accuracy via clinical assessment 1.
  • Management

  • Surgical Excision: Recommended for definitive treatment, particularly in the wrist and foot, to minimize recurrence 13.
  • Observation: May be considered for asymptomatic lesions, though recurrence rates can be higher 3.
  • Special Populations

  • Pediatrics: Specific management guidelines are not provided in the abstracts; surgical excision remains a consideration for symptomatic cases 2.
  • Elderly: No specific considerations noted; management parallels general adult population 3.
  • Comorbidities: No specific adjustments to management based on comorbidities are detailed 13.
  • Key Recommendations

  • Routine pathological examination is not necessary for wrist ganglions post-excision due to high clinical diagnostic accuracy (Evidence: Strong 1).
  • Surgical excision is recommended for foot and wrist ganglions to reduce recurrence rates (Evidence: Moderate 3).
  • For intramuscular or intraosseous ganglia, surgical intervention may be required for definitive management, though specific guidelines are limited (Evidence: Expert opinion 25).
  • References

    1 Guitton TG, van Leerdam RH, Ring D. Necessity of routine pathological examination after surgical excision of wrist ganglions. The Journal of hand surgery 2010. link 2 Rohrich RJ, Rich BK. Intramuscular ganglion of the biceps muscle. Annals of plastic surgery 1994. link 3 Wu KK. Ganglions of the foot. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons 1993. link 4 Inyama CO, Hacker GW, Gu J, Dahl D, Bloom SR, Polak JM. Cytochemical relationships in the paracervical ganglion (Frankenhäuser) of rat studied by immunocytochemistry. Neuroscience letters 1985. link90454-9) 5 Posner MA, Green SM. Intraosseous ganglion of a phalanx. The Journal of hand surgery 1984. link80162-8)

    Original source

    1. [1]
      Necessity of routine pathological examination after surgical excision of wrist ganglions.Guitton TG, van Leerdam RH, Ring D The Journal of hand surgery (2010)
    2. [2]
      Intramuscular ganglion of the biceps muscle.Rohrich RJ, Rich BK Annals of plastic surgery (1994)
    3. [3]
      Ganglions of the foot.Wu KK The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons (1993)
    4. [4]
      Cytochemical relationships in the paracervical ganglion (Frankenhäuser) of rat studied by immunocytochemistry.Inyama CO, Hacker GW, Gu J, Dahl D, Bloom SR, Polak JM Neuroscience letters (1985)
    5. [5]
      Intraosseous ganglion of a phalanx.Posner MA, Green SM The Journal of hand surgery (1984)

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