The Hand Patient: Ganglion of the Flexortendon sheath

Abstract

Re:Your patient with a small hard tender nodule at the base of the volar aspect of the right middle finger Thank you for your referral of Mrs. F v Z a 54 year old right hand dominant housewife who has been complaining of a painful nodule in the palm of the right hand. This little nodule interferes with her daily activities when she holds something tight such as the steering wheel of a car. She has difficulty also in holding her tennis racquet making it impossible to hit hard strokes. This nodule has come up spontaneously. She claims that there is no history of injury such as a needle or a thorn prick.