Wrist and hand lumps — causes, symptoms, and how ultrasound helps diagnosis
Use of Ultrasound for the Diagnosis of Lump on the Hand and Wrist
There should be a doctor’s visit if you find a lump on your wrist or hand. Whatever the symptoms are, the best chance of recovery is to find them early (1) with a hand or wrist ultrasound and get care afterwards.
What Causes Hand or Wrist Lumps?
The majority of the time, lumps that exist in the hand and wrists are considered to be harmless (2). Malignancies in the soft tissue, bone, or cartilage are extremely uncommon. Cancerous diseases are classified as rare.
For the purpose of this discussion, let’s look at some of the most typical causes of lumps in the hands or wrists.
Ganglion Cysts
Most lumps found on the hands and wrists are actually harmless ganglion cysts. The development of a pouch by the lining of your tiny joints, which permits fluids to seep inside, leads to the formation of ganglion cysts.
Your tendon sheath or knuckle joint sheath could experience the same thing. A “mucous cyst” is the medical term used to describe such an anomaly.
Inclusion Cysts
The development of inclusion cysts is a common complication of penetrating wounds to the fingers or hands. Your hand or finger’s deep layers are penetrated by surface cells caused by the instrument’s force that generates the wound.
Within the healed wound, these cells proliferate and eventually cause benign but aberrant growths that can take months or even years to fully manifest.
Giant Cell Tumours
Despite the potentially alarming name, giant cell tumours are benign growths that arise on the soft tissue within the joint, the sheath of the tendons, or the interior of the tendons.
Typically, they are unpleasant, but they are effortless to eliminate. Unfortunately, they frequently recur; therefore, it is probable that your physician will advise you to return for rechecks at regular intervals.
Carpal Boss
A carpal boss is a bony protuberance that forms on the wrist, resembling a bone spur on the hand. It is a kind of osteoarthritis that develops from the bone on the posterior side of your hand.
Researchers propose that a carpal boss gradually forms as a result of repeated strain on the wrist or a sudden accident. Typically, it is devoid of discomfort. Nevertheless, some individuals experience discomfort while mobilising their afflicted wrist.
Dupuytren Disease
Dupuytren disease (3) arises from a dysregulation in the body’s capacity to regulate the processes of healing and scarring. It induces the development of solid, often distressing nodules underneath or connected to your skin.
Genetics contribute to its development. If you have a family history of the illness, it is advisable to have your doctor do regular check-ups to detect early indicators.
Arthritis-Induced Hand and Wrist Abnormalities
Some types of arthritis, like osteoarthritis, rheumatoid arthritis, and gout, can make your hands swell and break out in different ways.
Heberden’s nodes and Bouchard’s nodes (10), which are small bony growths on the fingers, can make them swell, hurt, and make it hard to move.
People who have rheumatoid arthritis often get lumps and stiffness in the tissues around their joints. An attack of gout (11), on the other hand, can make the hand grow and form painful, chalky crystals in the tissues.
Cancer in the Wrists or Hands
Wrist and hand cancers are rare, but they can happen. Most of the time, cancerous growths in the hands and arms are caused by cancer cells that have spread from other body tumours.
Skin cancers like squamous cell carcinomas, melanomas, and basal cell carcinomas make up most of the cancers that start in the wrist or hand.
There are, however, some cancerous growths (sarcomas) that can happen in the hand’s bones or tissue.
Unless you know for sure that a lump on your wrist or hand is nothing important, you should always make an appointment with your doctor to rule out more serious conditions, like cancer.
An ultrasound check is one of the most reliable ways to find out what’s wrong with your hands and wrists.
What Happens During a Hand or Wrist Ultrasound Scan?
An ultrasound of the wrist or hand is a non-invasive process, so you won’t need to do much to get ready.
The ultrasound specialist will put gel on your hand or wrist before the test. A short-sleeved shirt, top or jumper can protect your clothes from the gel. Take off any metal before the scan.
When you get to the exam room, your doctor will ask you to put your hand or wrist on the table. After that, a gel will be put on your skin to help the ultrasound tool move over it more easily and get a good picture of the hurt area.
Then, to make pictures, your doctor will move the ultrasound probe over your hand or wrist. The pictures will show up on a screen, giving them a clear picture of your situation.
At the London Diagnostic Centre Ultrasound Group, your doctor will talk to you about the results right away after the test.
In fact, your doctor will likely be able to tell you what’s wrong on the same visit. If you need to go back for more care, your doctor will tell you to make your next appointment with the office staff.
You don’t need to worry about that lump on your wrist or hand if you see it. Our friendly staff can help you set up an ultrasound of your hand or wrist right away.



