Treatment

Treatment

• a variety of techniques have been described for the treatment of digital mucoid cysts
  • range from puncture, aspiration and drainage, unroofing with electrodessication, injection therapy with steroids or sclerosing alcohol, curettage and compression, multiple needling and drainage, and simple surgical excision
• recurrence rates vary according to the specific management of these lesions
  • lower recurrence rates have been observed with complete surgical excision including deep tissue and bone with the addition of skin flaps for closure of the primary defect
  • recurrences as high as 50% have also been documented for treatment using puncture and drainage
  • surgical intervention, which incorporates osseous and soft tissue resection, has shown a recurrence rate as low as 20%

Reference:

• 1) Blume PA et al. Digital mucoid cyst excision by using the bilobed flap technique and arthroplastic resection. The Journal of Foot and Ankle Surgery (2005);44, 44-48.