Treatment for mucous cyst

podinhk · Aug 16, 2013

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Hello, I am an Australia-graduated podiatrist working in HK.
I am awared of podiatry arena for a while and it's my first time to post.

Have recevied a few "corn" referrals lately but they are actually mucous cyst after examination.

How do you normally treat them in clinc? Or do you refer them to surgeons straight away?

I read that treatments like applying silver nitrate can be done. But i have never done that before, how successful would that be?

Please share your experience! ^^

NewsBot · Feb 13, 2023

Operative outcome of mucous cyst of lesser toes: A comparison between cyst excision with osteophytectomy and distal interphalangeal fusion
Jun Young Choi, Sung Sahn Lee, Young Ho Jung, Jin Soo Suh
Foot and Ankle Surgery; 10 February 2023

Background:
To date, the optimal operative treatment for mucous cysts of the lesser toes (MCLT) has not been discussed in detail, although many previous studies have focused on treating finger lesions. Therefore, we evaluated the operative outcomes of two different procedures for MCLT: cyst excision with osteophytectomy and cyst excision with distal interphalangeal (DIP) fusion.

Methods
We retrospectively reviewed and compared the clinico-radiographic outcomes of patients who underwent cyst excision with osteophytectomy (group 1, 22 cases) or cyst excision with DIP fusion (group 2, 16 cases) for MCLT between January 2010 and August 2021. The minimum follow-up duration for inclusion in the study was 12 months. Clinical outcomes were evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) lesser toes metatarsophalangeal-interphalangeal scale and the Foot and Ankle Ability Measure (FAAM) Activities of Daily Living (ADL) subscale. We also collected information on postoperative recurrence and operation-related complications.

Results
The preoperative and postoperative AOFAS and FAAM-ADL scores were not significantly different between the two groups (P>0.05, each). However, the postoperative recurrence rate was 31.8% in group 1 (7 of 22 cases), whereas no recurrence was observed in group 2. Every recurrence occurred within 8 postoperative weeks (mean, 4.8 weeks; range, 3–8 weeks). Nonunion of the fusion site was observed in one patient (6.3%).

Conclusion
We confirmed that postoperative recurrence was significantly lower in the case of cyst excision with DIP fusion than in cyst excision with osteophytectomy for the treatment of MCLT. Clinical outcomes were not significantly different between the two procedures.
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