Whether you like it or not, lumps, bumps, and masses on your body are simply a part of life. Fortunately, those that are found on the hand and wrist are usually benign, and can easily be removed. However, problematic conditions do exist, and it is important to have any growths or masses examined by a specialist to determine if treatment is necessary.
Some masses occurring in the hand and wrist areas can become painful, impacting everyday tasks, such as driving, working and sports. Other types of growths may become cosmetically undesirable over time. The Fitzmaurice Hand Institute treats a wide variety of these lumps and bumps, and many treatments may be performed the very same day of your consultation.
A ganglion cyst is a small soft tissue lump that occurs around a joint, usually in the hands or feet. It is caused by a leakage of fluid from the joint into the surrounding tissue. They are most commonly found around the wrist. Complications may involve reduced range of motion and stiffness.
Diagnosis for ganglion cysts is readily obtained by physical examination and ultrasound. Surgical removal remains the primary treatment for this condition, utilizing a small incision under local anesthetic. For ganglion cysts located near joints of the wrist, we typically utilize arthroscopic techniques to better visualize the area. This provides the best success rate and fastest recovery possible.
A fibroma is a benign tumor or growth, generally made up of fibrous cells, and occurring on a tendon sheath. Most occur during the fourth decade of life, but have been reported from ages 3 to 68. Men are affected more frequently with a ratio of 1.5 to 2:1. They are slow-growing and generally painless unless direct contact is made. Fibromas may be as small as 1/4 inch but have been reported to encompass an entire finger. Surgical removal is important, as these tumors generally continue to increase in size over time.
Neuroma are benign tumors commonly comprised of nerve cells. These typically form following an injury to a nerve, when an end of the nerve becomes disconnected and later forms a bulb or mass through the scarring process. Neuromas can be very painful, especially present in scar tissue near the skin, limiting range of motion.
Diagnosis of a neuroma is made by physical examination in our office, and may include ultrasound imaging as well. Some neuroma become less painful over time, although most occur near joints and remain symptomatic until treated surgically. The Fitzmaurice Hand Institute specializes in peripheral nerve repair, and we utilize the most advanced nerve grafts available to ensure the best possible results.
A lipoma is a growth of fat cells in a thin, fibrous capsule usually found just below the skin. Generally these benign tumors begin with rapid growth, slowing in development over time. In their early stages, lipomas usually have no symptoms aside from cosmetic appearance. However, they can grow large enough to impact movement in the hand or wrist. In most cases, surgical removal is often performed under local anesthetic.
Giant cell tumors affecting the tendon sheath of a finger are relatively common. This can be very painful, usually occurring on the middle or index finger, on the palm side of the hand. The hard, solid mass makes it difficult to fully bend the affected finger. Diagnosis of these tumors is performed here in our office, including a physical examination and ultrasound imaging. As with other masses, surgical removal is straightforward, requiring only a small incision and local anesthetic.
Studies have shown that this remarkable visualization significantly decreases surgical risks, with zero complications to date in over 4000 procedures performed. EndoTech® results in the least amount of pain and fastest recovery compared to other surgical techniques. This allows for a much higher success rate and a greater overall patient outcome.