Peripulley ganglion cyst (A1 pulley)

Case contributed by Maulik S Patel , 12 Jul 2018
Diagnosis almost certain
Changed by Yaïr Glick, 15 Jul 2018
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Study Attributes

Findings was changed:

There is a thin-walled predominantly anechoic cyst ( 5(5 x 4 x 3 mm) abutting the A1 pulley at the 3rd metacarpophalangeal joint. There is no vascularity in the lesion. The A1 pulley is intact. There is no tendon thickening/ tenosynovitis/tenosynovitis/flexor tendon tear. PalmerPalmar plate is intact. There is no metacarpophalangeal joint effusion. The lesion is free from adjacent neurovascular bundles. Dynamic scaninterrogation shows free tendon movements.

Updates to Case Attributes

Title was changed:
Peri A1Peripulley ganglion cyst (A1 pulley ganglion)
Body was changed:

Ultrasound findings favor peri A1-A1 pulley gangliaganglion cyst. Peri pulley ganglia Peripulley ganglion cysts are located on the volar aspect of the finger. Location of A1 pulley gangliaganglion cysts is at the metacarpophalangeal joint level and that of A2 pulley ganglia at mid shaftthe midshaft of the proximal phalanx.

  • -<p>Ultrasound findings favor peri A1 pulley ganglia. Peri pulley ganglia are on the volar aspect of the finger. Location of A1 pulley ganglia is at the metacarpophalangeal joint level and that of A2 pulley ganglia at mid shaft of the proximal phalanx.</p>
  • +<p>Ultrasound findings favor peri-A1 pulley <a title="Ganglion cyst" href="/articles/ganglion-cyst">ganglion cyst</a>. Peripulley ganglion cysts are located on the volar aspect of the finger. Location of A1 pulley ganglion cysts is at the metacarpophalangeal joint level and that of A2 pulley ganglia at the midshaft of the proximal phalanx.</p>

References changed:

  • Bianchi S, Martinoli C, de Gautard R, Gaignot C. Ultrasound of the digital flexor system: Normal and pathological findings(). (2007) Journal of ultrasound. 10 (2): 85-92. <a href="https://doi.org/10.1016/j.jus.2007.03.002">doi:10.1016/j.jus.2007.03.002</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/23396583">Pubmed</a> <span class="ref_v4"></span>
  • Ultrasound of the digital flexor system: Normal and pathological findings. S. Bianchi, C. Martinoli, R. de Gautard, and C. Gaignot.J Ultrasound. 2007 Jun; 10(2): 85–92. doi: 10.1016/j.jus.2007.03.002

Updates to Link Attributes

Title was removed:
Peri A1 pulley ganglion
Type was removed.
Visible was set to .

Updates to Primarylink Attributes

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.