Journal Menu

Tools

Publication history

Published article online:
21 Dec 2007
Issue online:
25 Feb 2008
Dermatologic Surgery

Dermatologic Surgery

Volume 34 Issue 3 Page 364-369, March 2008

To cite this article: YANG-CHIH LIN MD, YU-HUNG WU MD, RICHARD K. SCHER FRCP (2008) Nail Changes and Association of Osteoarthritis in Digital Myxoid Cyst
Dermatologic Surgery 34 (3) , 364–369 doi:10.1111/j.1524-4725.2007.34070.x

Abstract

Nail Changes and Association of Osteoarthritis in Digital Myxoid Cyst

  • *Department of Dermatology, Mackay Memorial Hospital, Taipei, Taiwan; †Mackay Medicine, Nursing and Management College, Taipei, Taiwan; ‡Lee-Ming Institute of Technology, Taipei, Taiwan; §Dermatology Department, College of Physicians and Surgeons of Columbia University, New York, New York
Address correspondence and reprint requests to: Yu-Hung Wu, MD, Department of Dermatology, Mackay Memorial Hospital, 92, Sec 2, Chung-Shan N Road, Taipei, 10449, Taiwan, or e-mail: lin1234@ms2.mmh.org.tw

Yang-Chih Lin, MD, Yu-Hung Wu, MD, and Richard K. Scher, FRCP, have indicated no significant interest with commercial supporters.

Abstract

BACKGROUND Digital myxoid cyst is relatively common on the digits. Nail changes and osteoarthritis are usually associated with this pathogenesis.

OBJECTIVE The objective was to clarify this relationship and its significance by analyzing the clinical, radiologic, and pathologic data.

METHODS AND MATERIALS Fifty-one patients with digital myxoid cysts were diagnosed and analyzed during a 5-year period.

RESULTS Thirty-eight (74.5%) of 51 patients showed radiologic evidence of primary interphalangeal joint osteoarthritis in the affected digits. Among the 39 cysts removed surgically and examined pathologically, 28 were myxomatous and 11 were ganglion. Different clinical manifestations of nail change, including longitudinal grooves (20 cases), concave canaliform dystrophy (9 cases), "washboard" transverse lines (5 cases), and longitudinal grooves with beaded ridges (1 case) were found.

CONCLUSION Osteoarthritis of the adjacent terminal joint is an important factor involved in forming digital myxoid cysts. Of the two cyst types, ganglion cysts are related to osteoarthritis more often than myxomatous cysts. Nail changes, secondary to matrix damage, are reliable clinical signs of underlying cyst formation. Understanding the pathogenesis of the digital myxoid cyst in relation to osteoarthritis and nail deformity helps inform the care of these patients.



Users who read this article also read:

VERENA AHLGRIMM-SIESS, MD, CESARE MASSONE, MD, RAINER HOFMANN-WELLENHOF, MD, AND HELMUT KERL, MD
Dermatologic Surgery, Volume 34, Issue 3, Page 371-373, Mar 2008, doi: 10.1111/j.1524-4725.2007.34071.x
OSMAN KÖSE, MD AND AHMAD WASEEM, PHD
Dermatologic Surgery, Volume 34, Issue 3, Page 336-346, Mar 2008, doi: 10.1111/j.1524-4725.2007.34067.x
HENDRIK ZIELKE, MD, LINN WÖLBER, MD, LUITGARD WIEST, MD, AND BERTHOLD RZANY, MD, SCM
Dermatologic Surgery, Volume 34, Issue 3, Page 326-335, Mar 2008, doi: 10.1111/j.1524-4725.2007.34066.x
WOLFGANG KOENEN, MD, SERGIJ GOERDT, MD, AND JÖRG FAULHABER, MD
Dermatologic Surgery, Volume 34, Issue 3, Page 357-363, Mar 2008, doi: 10.1111/j.1524-4725.2007.34069.x
RANDALL K. ROENIGK, MD
Dermatologic Surgery, Volume 34, Issue 3, Page 293-300, Mar 2008, doi: 10.1111/j.1524-4725.2007.34061.x
EMMY M. GRABER, MD, ELIZABETH L. TANZI, MD, AND TINA S. ALSTER, MD
Dermatologic Surgery, Volume 34, Issue 3, Page 301-307, Mar 2008, doi: 10.1111/j.1524-4725.2007.34062.x

This Article

Search

In
By author