What is the tendon ganglion (a ganglion cyst, it’s a ganglion): causes, treatment, prevention of recurrence
Tendon ganglion and the tumor tumor, and bursitis not a bursitis
The ganglion of the tendon or on the principle of communicating vessels. At first glance at the pathology of an analogy with came under intact skin a pea or a cherry, only the mobility of the «cherry» significantly limit the affected area.
Binding to the affected joint or tendon to tendon ganglion (hygroma or ganglion) is required, and at the same time is the most important differential diagnostic distinction from other pathology of the connective tissue of the limbs.
The tumor did not seem to…
Although the ending-OMA is always a hint of a tumor, ganglion cyst a tumor is not. Because the tumor (especially malignant) is a material which is rapidly and aggressively growing, captures all of the living space, crushing the surrounding tissue.
This tumor grows very slowly, and only then, when his existence is necessary, under certain conditions.
Second name: tendon ganglion (it’s a ganglion – knot, a knot, a seal) also did not clarify – there is no much density here is not in sight. Touch is the formation of elastically pliable consistency is not too tight air-filled rubber ball.
What, then, is clearly unnecessary and unpleasant in appearance of «swelling», so spoiling the aesthetic perception of the body and significantly impedes life, especially when that education is not one? To understand this allows familiarity with its structure and content.
The autopsy shows that the ganglion is a bag-capsule (cavity) walls, made by the cartilage of the wall of the joint capsule filled with pale yellow liquid with a minor amount of mucus and strands of fibrin.
The liquid in the cavity of tendon ganglion is never purulent or bloody, it is always serous, and always aseptic, so its presence in the cavity does not cause the inflammation of the tendon sheath or wall of the joint capsule, from which it is formed.
Similar to a bunion, but not the bursitis
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This education is nothing like the buffer created by the body to protect a certain area of the osteoarticular system from acting on it load or excessively strong or long-lasting or permanent.
Excessive load happens when the trauma (a blow with a hammer on a finger, hence the most frequent formation of tendon nodes on back of hands), and the duration is the exposure to pressure or friction more or less constant.
It may be the compression of the feet shoes are not removable during the day, especially close «tightly». That is why the rear feet of the tendon ganglia also appear quite often. Pressure overweight on the lower limbs becomes the cause of their formation in the knee joints.
This is to protect from such «close» and the traumatic effects on tendon and articular structures are formed and these mitigation and the shock and whimsy of an elastic «cushion» or «bubbles».
Pathology this looks very similar to bursitis but bursitis is not for two reasons:
- First, the tendon ganglion – formation of artificial, arising from external influences. In fact, it is a hernia of the joint, «bubble», «blow out» from one of its walls, an excessive increase of the pressure inside the joint. «Bubble», often communicating with the joint cavity by a narrow neck-anastomosis. Bursitis is a pathology of the joint capsule itself.
- Secondly, the ganglion is not an inflammatory disease. Yeah, its Foundation wall is cartilage, as in bursitis, and the cartilage is deformed, mutated. But he’s not inflamed, the process of transformation is aseptic, not infectious or allergic in nature.
If the joint cavity, the formation of natural and the body, the cavity of the ganglion with its non-inflammatory content arises from the effects of purely external reasons.
Therefore, this neoplasm should be considered a cyst, created as a result of degeneration of the synovial membrane (and also thickened synovial fluid filled).
Because and without cause occurs
The mechanism of formation of the ganglion becomes clear if we remember that the tendon sheath, and the joint is a closed cavity filled with liquid, which exerts a pressure on the inner wall of the cavity.
A sudden increase in external pressure with axial stress on the joint leads to a sharp reduction in the articular cavity.
Liquid trapped in a confined space and dramatically compressed, exerts pressure on the walls restraining her cavity, looking for a place to spill.
And this is a sharp, like the strength of the explosion, the momentum pushes the wall of the articular cavity in its weakest place, causing the formation of additional cavity – «blows» hernia «bubble», where the «fired» part of the liquid.
The reason for the operation of the mechanism should be lightning fast (trauma, including sports).
But most of the basis for the origin of the pathology are trauma, chronic, in the form of mild, but repeated day in and day constant or prolonged stress.
This motion, by the nature of work performed produce:
- seamstresses and embroiderers;
- constantly working on a computer keyboard or writing.
But the causes of tendon ganglion may be others:
- tight shoes, frequent formation of calluses;
- the effects of surgical interventions on joints and tendons, or diseases that lead to degeneration of the cartilage: osteoarthritis, arthritis, bursitis, tenosynovitis, or their self-treatment;
- hereditary weakness of the connective tissue.
Often the cause of hygroma generally remains unsolved.
Features of the structure
Depending on the reasons for its occurrence and characteristics have been subjected to the bursting of the articular cartilage, the formation of tendon ganglion:
- single chamber;
In turn, the camera ganglion, once established may permanently lose the message with gave birth to her joint cavity – anastomosis between them persists, but it is tightly closed and the liquid it does not move, there is an isolated type of cavity.
Or fistula remains valid, allowing synovial fluid to flow freely in both directions.
The third option in the anastomosis between the cavities formed by the valve passing liquid only in one direction inside the cavity of the cyst when the pressure in the joint cavity increases.
The clinical picture
The small size of the tendon site of pain does not cause. The problem starts with the growth of tumors due to its continued traumatization in the process of work and life.
In addition to the discomfort and unsightly appearance of this tendon and cartilage education, the picture of the disease complemented by such symptoms:
- the different nature of moderate pain in the formation;
- the constraint functions (movement and sensitivity) of the involved joint or body part distal to the resulting block.
- deformation of the nail due to violations of the trophic tissue;
- changes that occur in the tumor covering skin (hyperemia or cyanosis, induration or thinning its surface, can lead to samskriti).
Pain can be a pulling or aching, occur with pressure on ganglion or spontaneously, with extension-flexion blocked joint, skin sensations can have the character of «numbness» or itching.
Multiple ganglia formed on the hand or foot, capable of even seriously limit the range of motion in all limbs.
In case of accidental damage or deliberate dissection with the aim of self-medication, ganglion exudes itself from the synovial fluid and blown away, but after healing its properties and appearance are fully restored.
One solution is to excise as early as possible!
Regardless of the size, which can be overwhelming and deliver a purely technical difficulties, slow-growing, or not growing at all, the tumor is characterized by high stability of cellular structures and malignant transformation are not inclined.
But at the same time:
- there is a high probability of damage, followed by suppuration;
- there is a tendency to further growth;
- perhaps the appearance of neurological symptoms or trophic disorders arising in limbs from mechanical compression by the formation of vascular and nervous trunks.
- there is restriction of volume of movements in joints
That is what leads the patient to the surgeon’s office. And very often this happens after a hard unsuccessful self-treatment, one of the «methods» (the crushing of tendon node) should be called downright savage.
Besides, there is the risk of suppurative process can even lead to loss of limb, after applying any «home method».
Failure in the treatment of tendon ganglion by pumping the liquid with a syringe or a simple opening of the cavity is easily explained by its structure: if the communication between the cavities of the joint and of education remains, the cavity ganglion easily re-filled at the expense of the liquid received from the joint cavity.
Only a radical excision of education coupled with a restoration of the integrity of the walls of the articular cavity, without leaving a fistula, can lead to full restoration of function of the injured limb or joint.
Used as a traditional surgical and laser excision of this, even if benign, but still of tumors. Leave it be as early as possible before it became a serious hindrance to the work, life and living.
Surgery to remove ganglion of tendon:
To avoid relapse
To avoid re-occurrence of tendon ganglion after surgical removal must adhere strictly to the recommendations of a surgeon in relation to the mode of work and life. For early load on the limb, despite its apparent insignificance, can easily become excessive.
When the genetic predisposition to the disease to exclude the possibility of spontaneous emergence of new «nodes» in addition to already existing in any way possible.
In the same case when it comes to the cause of gigram as chronic microtrauma of the joints and superficial tendons, care should be taken when performing work and to take measures to change working conditions.