Bill is a dentist who presents with a painless lump that has recently appeared on the dorsal aspect of his wrist, interfering with work.

Features of examination of Ganglion

• Deep subcutaneous lump
• Immobile
• Fixed to deep tissues

Investigations

• USS
• MRI

Management of ganglion

• Needle aspiration
• steroid injection
• Needle compression technique
• Surgical referral