Research Article
Volume 12 Issue 5 - 2021
The Efficacy of the Office based Treatment of Mucous Cysts at Dip Joints
Mohammed Muneer, Fadi Bouri*, Kjell Van Royen, Jorge Quintero and Tsu-Min-Tsai
Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky, USA
*Corresponding Author: Fadi Bouri, Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky, USA.
Received: March 04, 2021; Published: April 28, 2021


Background: Mucous cysts of the fingers are common and frequently origin from the distal interphalangeal (DIP) joint. Many conservative and surgical treatment options are available, however due to variable success rates none has proven to be superior. We propose a new, office-based technique for the treatment of mucous cyst.

Methodology: The technique is based on repetitive needling and puncturing of the mucous cyst at DIP joint level down to the bone followed by silver nitrate cauterization at outpatient clinic.

Results: 36 fingers were treated in 31 patients. Mean pain using a VAS score at final follow-up was 1,7 (range 0 - 6). Mean follow-up time was 68 months (range 57 - 84). Seven patients had a recurrence (19,4%) with a mean recurrence time of 8,4 months (range 5 - 12).

Conclusion: this new office- based technique is an effective method for treatment of mucous cysts in terms of time saving; it is cost effective and very satisfying for patients. Moreover, it will always keep the surgical option available in case of recurrence.

Keywords: Mucous Cyst; DIP Joint; Repetitive Needling


  1. Eaton RG., et al. “Marginal osteophyte excision in treatment of cysts”. Journal of Bone and Joint Surgery American 3 (1973): 570-574.
  2. Kleinert HE., et al. “Etiology and treatment of the so-called cyst of the finger”. Journal of Bone and Joint Surgery American 54 (1972): 1455-1458.
  3. Hernandez-Lugo AM., et al. “Digital mucoid cyst: the ganglion type”. International Journal of Dermatology 7 (1999): 533-535.
  4. Johnson WC., et al. “Cutaneous myxoid cyst”. Journal of the American Medical Association 1 (1965): 109-114.
  5. Hyde JN. “Practical treatise on diseases of skin for use of students and practitioners”. 3rd revised edition. Philadelphia: Henry C. Lea’s son and Co (1883): 444.
  6. Berker D and Lawrence C. “Ganglion of the distal interphalangeal joint (myxoid cyst): therapy by identification and repair of the leak of joint fluid”. Archives of Dermatological 5 (2001): 607-610.
  7. Jabbour S., et al. “Management of digital mucous cysts: a systematic review and treatment algorithm”. International Journal of Dermatology 7 (2017): 701-708.
  8. Budoff JE. “Mucous cysts”. Journal of Hand Surgery American 5 (2010): 828-830.
  9. Gross RE. “Recurring myxomatous, cutaneous cysts of the fingers and toes”. Surgery, Gynecology and Obstetrics 3 (1937): 289-302.
  10. Böhler-Sommeregger K and Kutschera-Hienert G. “Cryosurgical management of myxoid cysts”. The Journal of Dermatologic Surgery and Oncology 12 (1988): 1405-1408.
  11. Dawber RP., et al. “Myxoid cysts of the finger: treatment by liquid nitrogen spray cryosurgery”. Clinical and Experimental Dermatology 2 (1983): 153-157.
  12. Huerter CJ., et al. “Treatment of digital myxoid cysts with carbon dioxide laser vaporization”. The Journal of Dermatologic Surgery and Oncology 7 (1987): 723-727.
  13. Lonsdale-Eccles AA and Langtry JA. “Treatment of digital myxoid cysts with infrared coagulation: a retrospective case series”. British Journal of Dermatology 5 (2005): 972-975.
  14. Rizzo M and Beckenbaugh RD. “Treatment of cysts of the fingers: review of 134 cases with minimum 2-year followup evaluation”. Journal of Hand Surgery American 3 (2003): 519-524.
  15. Dodge LD., et al. “The treatment of mucous cysts: long-term follow-up in sixty-two cases”. Journal of Hand Surgery American 6 (1984): 901-904.
  16. Sung JY and Roh MR. “Efficacy and safety of sclerotherapy for digital mucous cysts”. Journal of Dermatological Treatment 5 (2014): 415-418.
Citation: Fadi Bouri., et al. “The Efficacy of the Office based Treatment of Mucous Cysts at Dip Joints”. EC Orthopaedics 12.5 (2021): 03-10.

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