I then made a 1.5 cm mid-lateral incision over the right finger radial aspect between the DIP and PIP joint. I dissected down to find a retinacular cyst. I was able to remove this in its entirety, careful to protect the neurovascular structures.
I then turned my attention to the mucous cyst. I made a 1.5 cm curved longitudinal incision dorsally over the distal interphalangeal joint. I dissected down and found a mucous cyst extruding eccentrically from the dorsal aspect of the distal interphalangeal joint. I was able to dissect the cyst all the way out to the dorsal osteophyte. I opened up the extensor mechanism longitudinally to expose the dorsal osteophyte, which I then removed sharply with a rongeur. I completely removed the dorsal osteophyte as well as the cyst.
26210 for Mucous cyst & Osteophyte
26160 for Retinacular cyst
any help would be appreciated
I then turned my attention to the mucous cyst. I made a 1.5 cm curved longitudinal incision dorsally over the distal interphalangeal joint. I dissected down and found a mucous cyst extruding eccentrically from the dorsal aspect of the distal interphalangeal joint. I was able to dissect the cyst all the way out to the dorsal osteophyte. I opened up the extensor mechanism longitudinally to expose the dorsal osteophyte, which I then removed sharply with a rongeur. I completely removed the dorsal osteophyte as well as the cyst.
26210 for Mucous cyst & Osteophyte
26160 for Retinacular cyst
any help would be appreciated