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At the rest it can be originating from the skin or the tendons, or the blood vessels, or the nerves or from the joints, or the bone and joint junction. Commonest fluid filled cyst on the wrist is called as dorsal wrist ganglion. Basically it is due to minor instability problems or repetitive ligamentous injury to the wrist bone. There are small 8 wrist bones there connected together by very small ligaments. There may have repetitive injuries to it which cause which does not heal properly which is the commonest reason for the cyst or the fluid which is coming out from the joint looks like a cyst. The other uncommon as I said are benign lesions that are originating form the other tissues like the tendons or the blood vessels. Coming to the management of dorsal wrist ganglion which is the commonest one which is the commonest one. It can be managed initially symptomatically with anti inflammatories and relative immobilization of the wrist with some braces. Then there are, if it is not healing. There are ways and methods to evalaute any instabilities within the carpal bones. It has to be, if there are any instability that has to be looked into by a proper clinician who can deal with he metacarpal instabilities. Or the other methods would be injecting the steroid and hyalase injection into the ganglion. Other simple surgical methods would be excision of the cyst. But then all these would be directed to the symptom. It is only directed toward the cyst. Now what will be the underlying problem would have to be tackled to prevent recurrences.