You are here

Ganglion Cyst Excision 25111

Volar wrist ganglion cyst image

Ganglion cyst fluid image

CPT Coding
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References

synonyms:ganglion cyst excision

Ganglion Cyst Excision CPT

Ganglion Cyst Excision Indications

  • Painful ganglion which has failed conservative management

Ganglion Cyst Excision Contraindications


Ganglion Cyst Excision Alternatives

  • Aspiration
  • Conservative care

Ganglion Cyst Excision Pre-op Planning

Ganglion Cyst Excision Technique

Ganglion Dorsal Ganglion Technique

  • Supine, arm board, +/-antibiotics, turniquet, 3.5x loupe magnification
  • Transvers incision along Langer’s lines
  • Skin hooks for retraction, iris/tenotomy scissors
  • Mobilze circumferentially, retract extensor tendons(usually 4thcompartment)
  • Identify pedicle, dissect to origin(usually scapholunate ligament)
  • Excise portion of dorsal wrist capsule and small portion of scapholunate ligament with pedicle.
  • Irrigate wound
  • Sub-q closure, skin closure
  • 5cc 5% bupivicaine for post-op pain
  • Dorsal/palmar splint

Ganglion Volar Ganglion Technique

  • 65% arise form radioscaphoid joint near scapholunate interval, 34% from scaphotrapezial joint, 1% trapeziometacarpal joint.
  • Usually located radial to FCR tendon
  • Dissection may involve the palm, carpal tunnel, even dorsum of wrist due to extent of cyst
  • Protect palmar cutaneous branch of the median nerve and terminal branches of lateral antebrachial cutaneous nerve. 
  • Follow ganglion down to its origin and excise with small portion of capsule.
  • 30% chance of recurrence.

Ganglion Cyst Excision Complications

  • Cosmesis(scar)
  • Nerve injury
  • Decreased motion
  • Instability
  • We discussed the risks of ganglion excision including but not limited to: incomplete relief of pain, incomplete return of function, cosmesis (scar), infection, nerve or vascular injury, stiffness, wrist instability, CRPS and the risks of anesthesia including heart attack, stroke and death.
  • Infection
  • CRPS

Ganglion Cyst Excision Follow-up care

  • Post-op: volar splint
  • 7-10 Days: wound check.  Place in cock-up wrist splint for 2 weeks followed by gradual
  • 3 Weeks:
  • 6 Weeks:
  • 2 Months:
  • 3 Months:
  • 6 Months:
  • 1Yr:

Ganglion Cyst Excision Outcomes

  • @15% recurrence risk after dorsal ganglion excision
  • @30% recurrence risk after volar ganglion excision

Ganglion Cyst Excision Review References

  • Thornburg LE, JAAOS 1999;7:231




The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer