Hygroma on the hand: causes, symptoms, treatment of cysts. Bump on the wrist on the top of the hand. Hygroma under the skin. Treatment with folk remedies, ointments, laser removal, surgical removal Small lump on the wrist

Prevention

Comes down to eliminating regular physical activity on the arms, as well as timely treatment of diseases that cause hygroma (bursitis, tendovaginitis) without bringing it to the chronic stage. And if a hygroma lump appears on your hand, urgently see a specialist!

A hygroma on the hand (often called a tendon hernia) is a round formation of a benign tumor nature.

Such a lump looks like a bone that has jumped out of a joint, but is a capsule filled with liquid, in which fibrin threads are sometimes detected. The number of formations can be different - from one to several (multi-chamber hygroma).

In addition to its unaesthetic appearance, the formation brings a lot of problems: it increases in size over time, interferes with normal movements and is often accompanied by severe pain.

Causes

The exact reasons for the appearance of hygromas are unknown, but doctors tentatively identify a group of patients , most susceptible to the occurrence of this pathology:

Clinical manifestations

At the very beginning, the disease has no clinical symptoms and the patient, as a rule, does not pay attention to the formation. But over time, the ball begins to grow. At this stage the tumor is characterized by the following symptoms:

Diagnostic measures

Diagnose hygroma in the wrist area it is not difficult for a specialist.

First, the doctor examines the formation and prescribes radiography to confirm the diagnosis.

In some cases, a more detailed examination is required, including ultrasound, puncture or CT.

Localization of hygroma

Usually , hygromas occur in the area of ​​large joints of the legs and arms(and much less often can form on other parts of the body, for example, on the neck), but most often such formations are found on the wrists. In this case, there are two options for tumor formation:

Treatment of a lump on the arm near the hand

Patients, having discovered a hygroma, often wonder: Is it necessary to treat this formation? It is impossible to answer this question unequivocally. If a lump appears on the hand like a bone, but it does not bother (that is, does not cause pain, does not interfere with work) and is acceptable from an aesthetic point of view, then there is no urgent need to eliminate it. In cases where the hygroma is painful and interferes with joint movements, treatment should begin as early as possible.

In addition to surgical methods for eliminating the defect, there are also conservative methods (both traditional and folk). However, such methods are effective in the initial stages of the disease and can be used only when the hygroma does not hurt and does not cause discomfort, other than aesthetic unattractiveness.

Folk recipes

Surgery

As mentioned above, with advanced hygromas surgery is prescribed. In this case, the surgeon makes a puncture in the hygroma and draws out the contents from it, then injects hormones into the formation that stop its further growth, and bandages the wrist.

The appearance of a lump on the wrist brings not only cosmetic discomfort. The tumor does not hurt at the initial stage, but soon brings significant discomfort to patients. A lump on the wrist should be promptly diagnosed and treated so as not to interfere with the functioning of the wrist joint and not cause complications.

Hygroma

The favorite localization of hygroma is the wrist. A neoplasm can appear both on the outside and on the inside. Since outwardly the hygroma is a lump, this name is firmly entrenched among the people. Hygroma is a capsule, which inside is filled with a mucous mass with fibrin strands. When palpated, the consistency of the hygroma is soft in most cases.

It is extremely difficult to notice a hygroma at the initial stage, since it does not cause pain, and its increase in size occurs gradually. With the arm straightened, the hygroma is practically invisible. However, as the tumor progresses, the intensity of the discomfort experienced by patients also increases.

Causes

Hygroma appears in a person of any age and regardless of gender. It is currently not possible to identify the exact reason why the hygroma appeared. Scientists suggest that the following negative factors influence the appearance of neoplasms:

• degenerative joint pathologies;
• wrist injuries, dislocations, fractures;
• foci of inflammation in joints or soft tissues;
• genetic abnormalities;
• performing frequent monotonous movements with the hand.

In some patients, the hygroma grew due to professional duties. The disease occurs in secretaries, typists, seamstresses, athletes, and tennis players. Regardless of what exactly caused the hygroma, its treatment should be comprehensive and complete. Untreated hygroma will result in relapses in the near future.

Symptoms and diagnosis

At an early stage, the manifestations of the pathology are practically invisible, but a small swelling on the arm brings aesthetic discomfort, and as the hygroma increases, patients pay attention to the lump on the arm. Externally, signs of the disease appear as follows:

• in the area of ​​the hand an elastic growth is found that has a regular round shape;
• at the site where the growth appears, the skin becomes rough, and roughness is felt when touched;
• after some time, pain appears, which intensifies when moving the hand;
• the skin above the surface of the hygroma becomes red, hyperemia spreads to the surrounding tissues;
• if large hygromas occur, they can compress the nerve endings, and patients experience discomfort, numbness in the hand, and inability to move their fingers.

Complications begin when the hygroma touches blood vessels or nerve endings in the bend of the hand. With this condition, the patient experiences pain in the wrist, and soon the pain will be felt even at rest from below and above the hand. If you look at the lump in sunlight, you will notice its translucent contents.

REFERENCE! In most patients, hygroma appears on the hand with which the person works.

Hygroma is not difficult to diagnose. Patients usually undergo physical examination and palpation. In addition, doctors prescribe the following tests to patients:

• radiography;
• puncture;
• magnetic resonance imaging;
• ultrasonography.

Treatment

Treatment after diagnosis is prescribed taking into account the severity of the hygroma. Typically, small hygromas are treated conservatively. If a large hygroma appears, other methods of therapy are selected.

The use of medications in the treatment of hygroma is aimed at relieving inflammation, which in most cases forms when the tumor increases in size. Although the growth and bone itself become inflamed extremely rarely, because its contents are surrounded by a dense capsule into which pathogenic microorganisms do not penetrate. A suppurative process may occur if the inflammation is localized in the joint.

Physiotherapeutic procedures will help get rid of hygroma without surgery

When treating a lump on the hand at the top and bottom of the wrist bone, its nature is taken into account - purulent or aseptic. Aseptic processes are most successfully treated, because they are easily eliminated with medications. If there is suppuration, then surgical intervention is prescribed without delay.

There is no point in prescribing an antibacterial agent for purulent hygroma, since antibiotics cannot cope with a large number of pathogenic microflora, the population of which is rapidly increasing. In this case, antibiotics will only do harm - the patient will hope for recovery, but in fact the process will only be delayed.

For aseptic hygroma on the wrist joint, drug treatment is based on the following group of drugs:

• nonsteroidal anti-inflammatory drugs, for example, Nimesil. This group of drugs can not only relieve pain, but also eliminate swelling, and also block aseptic inflammation by interfering with the specific enzyme cyclooxygenase;
• antihistamines are effective medications that fight swelling and allergic reactions;
• corticosteroid hormonal drugs - have a powerful anti-inflammatory and immunosuppressive effect. Diprosalic is usually recommended as a representative of this group of drugs.

REFERENCE! Conservative treatment includes not only the use of medications, but also physiotherapeutic procedures. They help relieve swelling, pain, and eliminate the inflammatory process.

A lump on the hand under the skin on the wrist is exposed to:

• UHF therapy, in which tissues are deeply heated, local blood circulation is activated, and tissue restoration processes are enhanced. It is necessary to undergo at least ten procedures to obtain a positive effect;
• ultrasound therapy, which activates blood microcirculation, helps enrich tissues with oxygen, and minimizes the inflammatory process. The procedure lasts ten minutes, to complete the course of treatment you need to undergo ten procedures;
• Magnetic therapy – during the procedure, cartilage and bone tissue are heated. The lump on the joint hurts much less and the swelling goes away if you undergo a course of magnetic therapy.

In case of hygroma, surgery is possible, but this is usually resorted to when the contents suppurate or there is a threat of compression of nerve endings or blood vessels, if the tumor under the skin has become large. The growth is removed, after which the integrity of the tissue is restored. The scar after the hygroma is small.

Another option for removing hygroma is puncture. This is something between surgical intervention and conservative therapy, since the puncture itself does not require a large incision or classical surgery - all actions are performed through a puncture. The liquid is sucked out with a syringe until the skin bag is completely smoothed from the surface of the hand. Treatment in this way is effective and is often used in practice.

Traditional therapy for hygroma is also used, but it is recommended to use it as an additional treatment to the main methods of treating the tumor. Folk remedies can help the body get rid of the tumor at an early stage, as well as recover after surgery. If a hygroma appears, you can use the following remedies:

• Cabbage compresses are a great way to get rid of hygroma, since cabbage juice perfectly relieves inflammation. A cabbage leaf can be wrapped around your hand and worn for several hours, but compresses with cabbage juice will be even more effective. Gauze soaked in juice is applied to the site of the hygroma, fixed and left overnight. You need to apply a compress until the tumor completely disappears;
• red clay - for this treatment, red clay (200 g) is mixed with sea salt (25 g) and a small amount of water to knead something like a dough. The resulting clay is kneaded and applied to the damaged area, covering with a bandage. You need to walk with such a compress for at least a day, and after two hours the treatment is repeated. Duration of therapy – 10 days;
• Alcohol compress is an effective remedy in the treatment of hygroma. Alcohol, diluted in half with water, is soaked in a gauze cloth and applied to the bump, leaving it in place for as long as possible. It is necessary to make such compresses until the hygroma is completely eliminated;
• baths with honey – baths with honey will also help for therapy. Patients need to steam their sore hand in a bath for half an hour, then apply a thick layer of honey to it. The hand is bandaged and insulated with a woolen scarf. You need to do this all day.

Hygroma therapy should be started in a timely manner before it increases in size. With a cyst, you can not notice the negative symptoms of the tumor for a long time, until one day the hygroma makes itself known by compression of the nerve endings. In addition, hygroma becomes a factor for the development of bursitis and tendovaginitis.

To prevent the disease, it is important for patients to monitor the correct distribution of the load on the hands, promptly treat problems that arise on the wrist due to the inflammatory process in the tendon, joint, prevent the development of arthritis, and avoid sports injuries.

Lipoma

Wen in medicine is called lipoma; it clearly indicates the internal contents of lumps that appear on the human body in various places. A lipoma appears on the hands and wrist, turning into a rather large dense lump.

Metabolic disorders are a leading factor for the appearance of lipoma

As a rule, a wen does not hurt or itch anywhere on the body, so attention is paid to it at a time when it has already reached a significant size and is a lump on the surface of the skin. In the wrist area, wen is visually noticeable, especially when bending, if the skin on the hand is thin, so the lipoma clearly protrudes on the surface of the skin.

Causes

The reasons why lipomas appear cannot be precisely identified. A big problem is identifying the etiology of lipoma in the wrist area. We can highlight only a few factors that influence the appearance of a wen in the area of ​​the wrist joint:

• the effect of hereditary factors - the appearance of wen is most often observed in those whose close relatives also suffer from the presence of lipomas on the body;
• disturbances in the functioning of the digestive organs, in particular during the breakdown of fats;
• hormonal changes in the body that provoke increased secretion of fat from the skin;
• the use of hormonal drugs, some of which affect fat production;
• poor nutrition;
• dysfunction of the thyroid gland, pituitary gland, pancreas.

Some patients mistakenly think that the appearance of a wen near the hand is associated with excess weight. This opinion is erroneous, since statistical studies show that fatty lumps occur with equal frequency in both people of normal weight and obese people.

Symptoms

Wen is not difficult to identify externally. It looks like a compaction on the surface of the skin on the inside or outside of the wrist, the shape of the lipoma is round, the boundaries of the wen are clear. Upon palpation, it can be noted that the wen is mobile, it can slip under the fingers when pressed, but the wen is always clearly limited by the capsule in which its contents are located. Old lipomas can harden like bone.

REFERENCE! The appearance of a lipoma on the hand is occasionally combined with multiple wen on the upper limb, so wen of various sizes can be seen both on the wrist and on the fingers, in the area of ​​the elbow, palms and forearm.

Treatment

Since a wen on the wrist forms in a visible place, it constantly reminds of itself, and patients involuntarily think about how to eliminate the wen. In most cases, lipoma worries women who perceive it as a purely cosmetic defect. Therefore, most often it is women who begin the active fight against lipoma and do not always do it correctly.

Piercing and squeezing out the contents of a lipoma on the wrist is the most popular household method of combating the tumor. This should not be done under any circumstances, as there is a risk of infection and suppuration of the wen. And the second risk of fighting lipomas on your own is that when squeezing them out, only the contents are removed, but not the capsule itself.

Therefore, after removal of the lipoma and an apparently even contour of the skin, there remains a risk of a second appearance of the wen. After some time, the lipoma capsule will be filled with contents again, and the lipoma will form again.

The issues of removing a wen are not always acute. If a lipoma has formed, but does not grow and does not interfere with the functioning of the hand, doctors prefer not to remove the tumor. The lipoma can be monitored, and in some patients surgery is not performed at all, since the lipoma stops in its growth and development. The decision to operate is made in the following cases:

• in the presence of inflammation of the lipoma contents;
• with rapid growth of the tumor;
• if the lipoma is hard and begins to cause pain;
• when the color of the skin changes (redness, greening of the skin above the lipoma).

What to do with a lipoma if a lump appears on the wrist causes cosmetic discomfort. First of all, you need to contact a surgeon who will diagnose and distinguish a lipoma from a hygroma, which is similar in appearance, but differs in internal content and approaches to therapy.

Small lipomas are removed using sclerotherapy

There are several ways to treat lipoma on the dorsal wrist joint, but in most cases they involve surgery of varying extent. The radio wave surgery technique primarily works with benign neoplasms, which are the emerging lipomas. Wen removal occurs quite quickly. In most cases, patients can get rid of the hated defect within half an hour.

The big advantage is that radio wave treatment does not leave rough, unsightly scars on the skin, in such a prominent place as the wrist. Radio wave surgery also has a drawback - only tumors that are less than five centimeters in diameter can be removed.

The sclerotherapy method involves injecting a sclerosing solution into the wen itself, which destroys its internal structure. Sclerotherapy also has one big drawback - special solutions can destroy only the internal contents of the lipoma, but its outer shell remains. Even if the contents are removed, the lipoma will recur and grow again after some time.

Laser surgery is one of the most effective ways to combat lipoma on the wrist. The lump is removed using a carbon dioxide laser device, which effectively eliminates not only the contents of the lump itself, but also its capsule, leaving no chance for the lipoma to recur. Laser treatment is carried out under local anesthesia, the stitch after the operation is practically invisible, and the rehabilitation period is very short.

Another method of eliminating wen in the wrist area is liposuction. The procedure is carried out using a small incision of up to half a centimeter, into which a tube is inserted that reaches the cavity of the wen. The advantage of the fat suction procedure is that a quick and satisfactory cosmetic effect is achieved.

REFERENCE! The technique also has a huge disadvantage - it is impossible to remove the wen capsule with its help, which threatens relapses. If a lipoma appears once, then there is a high risk of the lipoma developing again.

If there are wen more than five centimeters in diameter, surgical intervention is performed. The intervention is carried out under local anesthesia, does not last long, but allows you to remove both the internal contents of the wen and its capsule. After the operation, a scar remains, the size of which depends on the size of the formed lipoma. The appearance of the scar requires work to prevent the formation of a rough keloid scar.

The most important

A lump on the hand is usually a manifestation of a hygroma or lipoma. Both of these neoplasms are benign and, in the absence of carcinogenic effects, they do not degenerate into cancerous tumors.

However, this does not mean at all that nothing needs to be done with the lump. First of all, the doctor must diagnose what it is and offer the patient treatment options for the disease. In most cases, the best option is a simple surgical intervention, but hygroma can be eliminated at an early stage using physiotherapeutic methods.

A lump on the wrist is a benign neoplasm that resembles a cyst. In medicine it is also called. This is a specific capsule, inside of which there is exudate with fibrin threads and mucus impurities. There may be several such cavity formations on the wrist. In this case, we will talk about multi-chamber hygroma. Once a tumor has formed, it may not bother a person at all, but as it grows, discomfort arises both physically and aesthetically. Especially when the lump on the hand increases in size to more than five centimeters. In addition, its increase may be accompanied by severe pain.

A lump on the wrist is not a rare pathology. It can occur in absolutely any person, regardless of his age category and gender. Often the pathology is diagnosed even in children. Today, doctors cannot say for sure the cause of growth on the arm, but they know some predisposing factors. A tendency was also noticed that such formations are more often formed in the hands of representatives of certain professions. This gives every reason to classify pathology as an occupational disease.

Etiological factors

As mentioned above, it is now difficult for clinicians to name all the reasons why a lump on the wrist may appear. But they identify certain groups of people (risk groups) in whom pathology is diagnosed most often. They are conventionally divided into two groups:

• The first group includes people who, due to their professional activities, are forced to perform the same hand movements every day. This includes seamstresses, violinists, people who do embroidery, etc.;
• The second group includes people who are actively involved in sports and who constantly use their hands (constant strong physical stress on the joint). These are tennis players, golfers and so on.

Possible reasons for the formation of hygroma on the hand:

• hand injury. It has been noticed that quite often a lump on the wrist occurs in a person who has previously suffered an injury. For example, you fell on your hand or sprained a tendon;
• hereditary predisposition. This theory also holds true. If one of the parents has a tendency to form hygroma, then most likely it will be passed on to their child;
• inflammatory diseases of the joints.

Symptoms

At first, a lump on the wrist does not bother a person at all. Its growth can be either slow or rapid. As soon as the tumor begins to grow, the clinical picture of this pathology will appear:

• a hard bulge forms on the wrist - this is a hygroma;
• if you shine a strong light on it, it will begin to become translucent, and it will be possible to see the liquid that is localized inside it;
• the skin over the hygroma may change slightly. It usually becomes darker than the tissue surrounding the tumor;
• If a sick person tries to make certain active movements with his hand, he will immediately experience severe pain.

Another symptom is numbness in the palm, as well as the inability of a person to make any movements with the fingers of the affected hand. This clinical picture is due to the fact that the tumor has already reached a fairly large size and is beginning to put pressure on the blood vessels, as well as nerve fibers.

Diagnostics

Typically, diagnosing a hygroma is not difficult. The standard diagnostic plan for suspected tumors is:

• visual inspection and palpation of the neoplasm;
• X-ray of the hand to confirm the preliminary diagnosis;
• tomography;
• if there is a suspicion that this tumor may be malignant, then the patient is immediately prescribed a biopsy and puncture of the formed formation. This is necessary in order to identify atypical cells using laboratory analysis.

Therapeutic measures

The doctor determines treatment tactics only after the patient has undergone a full examination and diagnosis. The method largely depends on the stage of neglect of this disease. At this time, three treatment methods are recognized as the most effective:

• physiotherapeutic treatment. The most gentle method of therapy. It is prescribed if the tumor is in the embryonic stage. The duration of treatment is one month. The patient will not experience any discomfort or pain during the procedure;
• puncture. The formed formation is pierced with a special syringe, with the help of which exudate is pumped out of the capsule. Next, the joint is tightly fixed with an elastic bandage so that the cavity that remains after removing the fluid is fully overgrown;
• surgical intervention. It is used only in the most difficult clinical situations.