Ruptured Ganglion Cyst

Why Are You Developing Ganglion Cysts?

Ganglion cysts are benign sacs filled with synovial fluid that develop near joints or tendons. Common risk factors and causes include:

• Tendon trauma/Injury
• Arthritis
• Chronic joint conditions
• Repetitive movements and stress on the joint capsule or tendon sheath
• Genetics
• Autoimmune disease

These fluid‑filled sacs often form on the back of the wrist (dorsal ganglion cyst) but can also appear in the inner wrist (volar ganglion cyst) and in other joints.

What Causes a Ganglion Cyst to Rupture?

A ganglion cyst can burst for several reasons:

• Ganglion cysts can rupture on their own if left untreated.
• Hard falls, particularly in children who fall while playing in a playground or others who participate in sports and have a hard fall on the field.
• Deliberate pressure or impacts (e.g., poking, squeezing) intended to “pop” the cyst may cause it to burst.

When fluid leaks from the ruptured cyst, the surrounding tissues may become inflamed, painful, and tender.

What Does a Ruptured Ganglion Cyst Feel Like?

When a ganglion bursts, many patients describe the rupture as feeling like “water running” along the wrist area. Sudden pain, soreness, and swelling are common. You may also notice:

• Redness and sensitivity in the affected joint
• A deflated cyst or a drained cyst appearance
• Mild muscle weakness or discomfort in the surrounding tissues

Should You Be Concerned If a Ganglion Cyst Pops?

You should keep the following in mind if your ganglion cyst ruptures:

1. Infection risk
   A ruptured cyst is essentially a leak of fluid from the joint capsule. Always monitor for increasing redness, warmth, or fever. Seek medical treatment immediately if these occur.
2. Pain management
   A ruptured ganglion cyst is usually painful for a few days. Over‑the‑counter pain relievers like NSAIDs, elevation, and applying ice can help.
3. Tendon and blood vessel safety
   In areas like the volar wrist ganglion cyst or inner wrist, delicate tendons and blood vessels (e.g., radial artery) lie close to the cyst. If the rupture was sudden or forceful, seek medical advice. You may require a magnetic resonance imaging (MRI) scan to check for tendon trauma or damage to blood vessels.
4. Risk of recurrence
   A burst or drained cyst may refill over time, leading to cyst recurrence. In that case, doctors may recommend ganglion cyst removal (ganglion excision).

Even if the cyst has burst and a visible lump disappears, joint problems can persist. Always seek medical advice if symptoms worsen or if you experience muscle weakness or limitations in the joint’s range of motion.

Treating a Ganglion Cyst That Has Ruptured

Although typically not hazardous, a ruptured ganglion cyst still requires attention. Treatment may include:

• Ice therapy and elevation: Help reduce swelling in the wrist area
• Pain relievers: Over-the-counter NSAIDs help manage inflammation and pain
• Rest and activity modification: Avoid repetitive movements
• Referral to medical professionals: For infection, persistent pain, or concerning symptoms

Long-Term Management

If cyst recurrence occurs, treatment options include:

• Aspiration of fluid inside the cyst
• Steroid injections provide near-immediate pain relief
• Ganglion excision or other surgical treatment

What About Surgical Treatment?

For recurrent or persistent ganglion cysts, doctors often prefer surgical treatment. This involves ganglion excision (removing the cyst) and possibly part of the joint capsule or tendon sheath. It’s usually done as a minor outpatient procedure.

Ready for Relief? Contact Us Today

Don’t wait to address a ruptured cyst or ongoing discomfort from a wrist ganglion. Whether you need guidance on non-surgical care, are considering ganglion cyst removal, or want a second opinion, our team at Georgia Hand, Shoulder & Elbow is ready to help. 

We provide personalized treatment plans that protect the delicate tendons, joint capsule, and soft tissue around the affected area. Make your appointment today in Marietta or Atlanta, GA.