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Journal of Hand Surgery (British and European Volume)
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Articles

Complications Following Mucous Cyst Excision

G. R. FRITZ
P. J. STERN
M. DICKEY

From the Cincinnati Hand Surgery Consultants, Cincinnati, Ohio, USA

Correspondence: Peter J. Stern MD, Cincinnati Hand Surgery Consultants, 2800 Winslow Avenue, Cincinnati, Ohio 45206, USA.

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° 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.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 2, 222-225 (1997)
DOI: 10.1016/S0266-7681(97)80067-8
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[Abstract] [PDF]