Compound Palmar Ganglion

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Compound Palmar Ganglion

A rare entity but a common Viva Question : Compound Palmar Ganglion

Compund Palmar Ganglion is an old term for Tubercular Tenosynovitis of ulnar bursa.

The tendon sheath of the little finger often communicates with the ulnar bursa and thus forms part of the compound palmar ganglion.

Characteristically, there is an hourglass-shaped swelling bulging above and below the flexor retinaculum.

Transmitted fluid impulse can be elicited from one compartment of the swelling to the other and a characteristic is the soft crepitant sensation derived from the movement of the melonseed bodies which abound within the bursa.

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