Can Bending Fingers Cause a Ganglion Cyst in Children? - Orthopedics

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Can a finger fracture cause a tendon sheath cyst?


The child at home, influenced by a classmate's comment that the little finger is inherently weak, bent his little finger inward to make the joint crack (similar to how fingers are bent before a fight in action movies).
As a result, just a few minutes later, the joint closest to the palm of the hand became swollen.
After a consultation, it was diagnosed as a ganglion cyst.
The information I found states that a ganglion cyst is caused by chronic repetitive motion leading to mucinous proliferation.
Therefore, I would like to inquire whether bending the joint just once could cause a ganglion cyst, or if it is possible that there was already an underlying issue with a ganglion cyst that simply hadn't manifested as a noticeable lump before? Thank you!

X, 40~49 year old female. Ask Date: 2024/01/10

Dr. Shen Boquan reply Orthopedics


Hello, it's unlikely that a single injury to your finger would cause a tendon sheath cyst; you may have already had the cyst and just noticed it now.
If it’s not very painful or bothersome, resting or monitoring it is sufficient.
If you experience discomfort, you can take anti-inflammatory pain relievers or apply topical treatments, and in some cases, surgical intervention may be necessary.
Wishing you good health.
Sincerely, Shen Bo-Chuan.

Reply Date: 2024/01/10

More Info


Bending fingers, especially in a forceful manner, can indeed lead to various injuries, including the development of a ganglion cyst, particularly in children. A ganglion cyst is a fluid-filled sac that typically forms near joints or tendons, and while they are often benign and may not cause any symptoms, they can sometimes lead to discomfort or functional issues.

In your case, the incident of bending the little finger to create a popping sound could have caused trauma to the joint or the surrounding tissues. This sudden forceful movement might have led to irritation or damage to the synovial lining of the joint, which could result in the formation of a ganglion cyst. However, it is also possible that the child had a pre-existing condition that was asymptomatic until the bending incident brought it to attention.

Ganglion cysts are often associated with repetitive stress or trauma to the area, which aligns with the information you found regarding chronic repetitive motions leading to mucinous fluid accumulation. However, a single incident of bending the finger does not typically cause a ganglion cyst to form immediately. It is more likely that the cyst developed as a response to the trauma or that it was already present but not noticeable until the bending occurred.

In children, ganglion cysts can be particularly common due to their active lifestyles, which often involve repetitive motions or minor injuries that adults might not even notice. If the cyst is not causing pain or functional impairment, it may not require treatment. Many ganglion cysts resolve on their own over time. However, if the cyst is painful, growing, or affecting the child's ability to use their finger, it may warrant further evaluation by a pediatric orthopedic specialist.

In terms of treatment, options can range from observation to aspiration (removing the fluid with a needle) or surgical excision if necessary. The decision on how to proceed typically depends on the symptoms and the impact on the child's daily activities.

In conclusion, while bending the finger in a forceful manner can lead to the development of a ganglion cyst, it is essential to consider the possibility of pre-existing conditions. If the cyst persists or causes concern, it is advisable to consult a healthcare professional for a thorough evaluation and appropriate management. Regular monitoring and gentle care of the affected area can help prevent further complications.

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