Case Report: Scar contracture caused by ruptured subcutaneous ganglion cyst misdiagnosed as Dupuytren's disease: diagnostic reflections on a rare case - Report - MDSpire

Case Report: Scar contracture caused by ruptured subcutaneous ganglion cyst misdiagnosed as Dupuytren's disease: diagnostic reflections on a rare case

  • By

  • Kai Jiang

  • Gang Li

  • Liang Ma

  • Xue-zhen Liang

  • Yi-fa Rong

  • Jun Zhang

  • May 29, 2026

  • 0 min

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Clinical Report: Misdiagnosis of Scar Contracture from a Ruptured Subcutaneous Ganglion Cyst

Overview

This case study details a 26-year-old female patient with a misdiagnosis of Dupuytren's disease, ultimately found to have scar contracture due to a ruptured ganglion cyst. Surgical resection relieved the contracture.

Background

Dupuytren's disease is a progressive condition that can lead to significant hand dysfunction, particularly in older males. This case illustrates the complexities involved in diagnosing conditions that may mimic Dupuytren's disease.

Data Highlights

No numerical data or trial data was provided in the article.

Key Findings

  • The patient was misdiagnosed with Dupuytren's disease despite having a ruptured ganglion cyst.
  • Intraoperative findings were inconsistent with the preoperative diagnosis.
  • The final diagnosis was confirmed through pathological examination post-surgery.
  • The patient's history of Hodgkin's lymphoma and bleomycin chemotherapy may have contributed to the fibrotic process.
  • Complete surgical resection relieved the contracture effectively.

Clinical Implications

Accurate diagnosis of soft tissue masses is critical to avoid mismanagement. Clinicians should consider a patient's medical and medication history when evaluating contractures to ensure appropriate treatment.

Conclusion

This case highlights the need for careful evaluation in diagnosing soft tissue conditions.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Scar Contracture Caused by Ruptured Subcutaneous Ganglion Cyst Misdiagnosed as Dupuytren's Disease: Diagnostic Reflections on a Rare Case
  2. European Radiology — Clinical and Imaging Insights into Dorsal Wrist Ganglia in Symptomatic Patients Using High-Field MRI
  3. International Journal of Colorectal Disease — Management of a rare entity; a intramuscular caecal epidermoid cyst, in the robotic surgery era: a video case report
  4. conexiant — Collagenase Effective for Recurrent Dupuytren
  5. Frontiers in Medicine — Ultrasound-guided hydrodissection of the subclavius muscle region in neurogenic thoracic outlet syndrome: a case report
  6. ACR Appropriateness Criteria® Soft Tissue Masses: 2022 Update
  7. Ganglion Cyst - StatPearls
  8. Dupuytren's disease | The British Society for Surgery of the Hand
  9. Anatomy » Submission » The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease
  10. Radiopalmar ganglion cysts: prevalence, morphology, and clinical significance in wrist MRI - PMC
  11. Ganglion cysts | The British Society for Surgery of the Hand
  12. Frontiers | Scar Contracture Caused by Ruptured Subcutaneous Ganglion Cyst Misdiagnosed as Dupuytren's Disease: Diagnostic Reflections on a Rare Case
  13. Surgery, Needle Fasciotomy, or Collagenase Injection for Dupuytren Contracture : A Randomized Controlled Trial - PubMed
  14. Collagenase Injection versus Limited Fasciectomy for Dupuytren’s Contracture | New England Journal of Medicine
  15. Collagenase Clostridium histolyticum Versus Needle Fasciotomy for Primary Metacarpophalangeal Dupuytren Contracture: Five-Year Results from a Randomized Controlled Trial - PubMed
  16. Outcomes of limited fasciectomy, needle fasciotomy and collagenase injection for Dupuytren’s disease: a systematic review and meta-analysis of individual patient data - Bente A van den Berge, Hosniya Habibi, Pieter U Dijkstra, Isam Atroshi, Tim RC Davis, Per Jenmalm, Annet van Rijssen, Ruud W Selles, Peter Scherman, Joakim Strömberg, Simon T Skov, Esther Vögelin, Paul MN Werker, Dieuwke C Broekstra, 2025
  17. Collagenase Clostridium Histolyticum Versus Percutaneous Needle Fasciotomy for Dupuytren’s Disease: A Systematic Review and Meta-Analysis | MDPI
  18. Xiaflex: Package Insert / Prescribing Information / MOA
  19. Two Cases of Scleroderma-like Skin Sclerosis Induced by Chemotherapy Including Bleomycin
  20. A critical role of AREG for bleomycin-induced skin fibrosis - PMC

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