J Hand Microsurg 2018; 10(03): 143-145
DOI: 10.1055/s-0038-1636832
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Epidermal Inclusion Cyst following Percutaneous Trigger Finger Release

Ting-Chien Tsai
1   Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan
,
Sheng-Pin Lo
1   Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan
2   Department of Orthopaedics, National Cheng Kung University Hospital, Tainan, Taiwan
,
Fang-Chieh Lien
1   Department of Orthopaedics, Chiayi Christian Hospital, Chiayi, Taiwan
› Author Affiliations
Further Information

Publication History

Received: 08 December 2017

Accepted after revision: 20 January 2018

Publication Date:
20 March 2018 (online)

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Abstract

Epidermal inclusion cyst is a benign lesion that commonly occurs due to inclusion of epidermal cells into the dermal or deeper layers in a trauma event. Percutaneous release is a minimally invasive technique, and good surgical outcomes can be achieved. However, the percutaneous procedure is a puncture injury, and the epidermal inclusion cyst is reasonable to become a possible complication. In this article, we presented a case of trigger finger in left middle finger. The patient underwent percutaneous release as the treatment and a second percutaneous release 5 months later due to recurrence of the symptoms. An epidermal inclusion cyst was noted 5 months thereafter, and it was treated with excision. With this case, we need to be more aware of this possibility if a mass lesion without infection signs occurs in the released area and recommend sonography if there is a mass lesion a few months after the procedure.