Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
170 Doctors are Online

Lumps on top of hand, hard, non movable. Normal RA factor. Negative for MS. Joint pain in wrists

User rating for this question
Very Good
Answered by

Orthopaedic Surgeon
Practicing since : 1994
Answered : 10458 Questions
I have 2 quarter size lumps on the top of my left hand, both almost in direct line with middle finger, that are hard and stationary. RA factor is normal. Have had tests for MS, all negative. Sever joint pain in both wrists and cant do fine motor skills with either hand at times. Very sporadic. Not a ganglion cyst.
Posted Wed, 12 Sep 2012 in Bones, Muscles and Joints
Answered by Dr. Praveen Tayal 59 minutes later
Thanks for posting your query.
The quarter size lumps on your hand can be due to many causes. Since the ganglion cyst has already been ruled out, the other likely causes are-
1. Giant cell tumor of tendon sheath.
2. Epidermoid inclusion cyst.
3. Lipomas, nerve sheath tumors, neurofibromas, etc.
All these swellings if related to the tendon sheath will cause painful movements of the fingers and wrist. These will cause an inflammation around the wrist joint causing the symptoms you are having. These will also interfere with the fine motor skills.
A careful history and physical exam performed by a hand surgeon can narrow down the possibilities as to the type of swelling you have. X-rays and MRI might
be taken if there is concern about bony involvement or to evaluate the soft tissues.
The treatment depends on the cause but recommended for pain relief. Surgical excision is necessary most of the times to restore the hand function.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor