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