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Flexor tendon retrieval — a modified technique

Treatment of the intratendinous ganglion should include preserving the tendon, which may be weakened by the ganglion (Kannus and Jozsa, 1991; Seidmen and Margles, 1993). Histopathological findings revealed that the tendon substance weakness was caused by a degenerative change in the tendon adjacent to the proximal edge of the lesion, and hyperplastic synovial cells accumulated into the collagen fibres of the tendon in our case. Therefore, it was suitable for the EPL tendon to be resected en bloc with the ganglion and reconstructed with the tendon transfer.