Do Finger Bending and Ganglion Cysts Have a Connection? - Orthopedics

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Is there a connection between a wrist fracture and tenosynovitis?


I recently came across an interesting news article stating that a doctor in the United States conducted an experiment for sixty years on cracking his fingers and concluded that there was no difference between fingers that were cracked and those that were not.
In the past couple of days, I noticed that my child has started cracking their fingers, making the joints pop.
Coincidentally, a friend nearby has developed a ganglion cyst in their finger joints, which they attributed to overuse (not from cracking fingers).
Therefore, I would like to ask three related questions: 1.
Can cracking fingers cause ganglion cysts? 2.
If so, does it happen quickly or does it take some time to develop? 3.
If a child just starts cracking their fingers and applies too much force, could it lead to joint damage, resulting in a hematoma or ganglion cyst? Thank you!

Ms. Wu, 20~29 year old female. Ask Date: 2024/01/20

Dr. Shen Boquan reply Orthopedics


Hello, it's unlikely that a single incident of finger fracture would cause a tendon sheath cyst; you may have already had the cyst and just discovered it.
If it is not very painful or bothersome, rest or observation is sufficient.
If discomfort occurs, you can take or apply anti-inflammatory pain relief medication, or even consider surgical intervention.
For children with a finger fracture, if the force of the fracture is too great, there is a possibility of joint injury, which could lead to a hematoma.
Wishing you good health, Shen Bo-Chuan.

Reply Date: 2024/01/20

More Info


The relationship between finger bending (often referred to as "knuckle cracking") and ganglion cysts is a topic that has intrigued both medical professionals and the general public. Your inquiry raises several important points regarding the potential effects of finger bending on joint health and the development of conditions like ganglion cysts. Let's explore these questions in detail.

1. Does finger bending cause ganglion cysts?
Current medical literature does not support a direct causal relationship between finger bending and the formation of ganglion cysts. Ganglion cysts are fluid-filled sacs that typically develop along the tendons or joints of the wrists and hands. They are often associated with repetitive stress or overuse of the joint, rather than the act of cracking knuckles itself. While some studies have suggested that habitual knuckle cracking may lead to joint swelling or discomfort, there is no substantial evidence linking it directly to the formation of ganglion cysts.

2. If there is a connection, how quickly would it occur?
If finger bending were to contribute to the development of ganglion cysts, one would expect that this would occur over a prolonged period of repetitive stress rather than immediately. Ganglion cysts typically develop as a result of chronic irritation or trauma to the joint or tendon, which leads to the accumulation of synovial fluid. Therefore, it is more likely that individuals who engage in repetitive motions or activities that stress the joints over time may be at a higher risk for developing these cysts, rather than those who occasionally crack their knuckles.

3. Can excessive force during finger bending cause joint damage or lead to hematomas or ganglion cysts?
While occasional finger bending or cracking is generally considered harmless, applying excessive force can indeed lead to joint injuries. If a child or anyone else applies too much pressure while bending their fingers, it could potentially result in joint sprains, strains, or even fractures. In such cases, there is a risk of developing a hematoma (a localized collection of blood outside of blood vessels) due to the trauma. However, this is not the same as a ganglion cyst, which is a different pathological entity.
In summary, while finger bending itself is not directly linked to the formation of ganglion cysts, excessive force during this action can lead to joint injuries. It is essential to encourage children to be mindful of how they engage in activities involving their fingers and hands. If there are any signs of pain, swelling, or persistent discomfort, it is advisable to consult a healthcare professional for a thorough evaluation.

In conclusion, while the act of cracking knuckles has been a subject of debate, it is crucial to differentiate between harmless habits and those that may lead to injury. Promoting healthy hand habits and understanding the body's signals can help prevent potential issues in the future. If you have further questions or concerns regarding joint health or specific symptoms, seeking advice from a medical professional specializing in orthopedics or hand surgery would be beneficial.

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