title: Surgical treatment of mucous cysts by subcutaneous excision and osteophyte resection: Results in 68 cases at a mean 6.63 years' follow-up.
abstract: The goal of this study was to assess the results of treatment of mucous cysts by subcutaneous excision and osteophyte resection without an associated skin procedure. From 1993 to 2013, 81 mucous cysts were operated on. In 27 cases, a nail deformity was present. Obvious osteoarthritis was present in 84% of cases. Among them, 67 patients (68 cysts) were subsequently assessed through a phone questionnaire after a mean follow-up of 6.6 years. Patients who reported a recurrence or suspected one were reassessed in consultation. Among the 68 evaluated cases, two developed an infection and one had delayed skin healing; these complications occurred on cysts with a previous fistula. In one case (1.5%), a recurrence was observed four months after excision of a subungual cyst. All nail deformities had resolved; 53 patients felt no discomfort and 65 were very satisfied or satisfied with the procedure and would undergo surgery again. The recurrence rate of 1.5% is consistent with that of other studies where the same procedure was used, without cutaneous grafting, ranging from 0 to 2%. This result is better than in studies where a graft or a flap was performed without systematic joint debridement. Our procedure is sufficient to effectively treat mucous cysts with less morbidity. Complications are rare and occur only in cysts associated with a fistula, justifying their early surgical treatment.
authors.affiliation: Unité de chirurgie de la main, services de chirurgie orthopédique et traumatologique 1 et 2, hôpital Trousseau, CHU de Tours, 37044 Tours cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Roulet
authors.affiliation: Unité de chirurgie de la main, services de chirurgie orthopédique et traumatologique 1 et 2, hôpital Trousseau, CHU de Tours, 37044 Tours cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Marteau
authors.affiliation: Unité de chirurgie de la main, services de chirurgie orthopédique et traumatologique 1 et 2, hôpital Trousseau, CHU de Tours, 37044 Tours cedex, France.
authors.forename: G
authors.initials: G
authors.lastname: Bacle
authors.affiliation: Unité de chirurgie de la main, services de chirurgie orthopédique et traumatologique 1 et 2, hôpital Trousseau, CHU de Tours, 37044 Tours cedex, France. Electronic address: j.laulan@chu-tours.fr.
authors.forename: J
authors.initials: J
authors.lastname: Laulan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003560:Cysts / Q000150:complications / Q000601:surgery*; D005260:Female; D005384:Finger Joint; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009093:Mucus; D019637:Orthopedic Procedures / Q000379:methods; D054850:Osteophyte / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D040521:Subcutaneous Tissue; D013997:Time Factors; D016896:Treatment Outcome
keywords: Arthrose; Articulation interphalangienne distale; Distal interphalangeal joint; Joint debridement; Kystes mucoïdes; Mucous cysts; Osteoarthritis; Osteophyte resection; Ostéophytes; Émondage articulaire