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有症状的腕部腱鞘囊肿。单纯切除就足够了吗?

The symptomatic carpal boss. Is simple excision enough?

作者信息

Clarke A M, Wheen D J, Visvanathan S, Herbert T J, Conolly W B

机构信息

Sydney Hospital Hand Unit, Australia.

出版信息

J Hand Surg Br. 1999 Oct;24(5):591-5. doi: 10.1054/jhsb.1999.0238.

DOI:10.1054/jhsb.1999.0238
PMID:10597939
Abstract

We reviewed 48 patients with symptomatic carpal boss seen during the 10 year period 1985-1994. Thirty-one patients had undergone either local excision of the boss or arthrodesis of the affected carpometacarpal joint. The mean follow-up was 3 years and nine cases have been revised. Twenty-four patients remained symptomatic and considered that surgery had failed to relieve their symptoms. These findings are in sharp contrast to previous reports that suggest simple excision of the carpal boss gives uniformly good results.

摘要

我们回顾了1985年至1994年这10年间48例有症状的腕部肿块患者。31例患者接受了肿块局部切除或患侧腕掌关节融合术。平均随访时间为3年,其中9例进行了翻修手术。24例患者仍有症状,认为手术未能缓解他们的症状。这些发现与之前的报告形成了鲜明对比,之前的报告表明单纯切除腕部肿块能取得一致良好的效果。

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