Povlsen B, Peckett W R
Department of Orthopaedics, Guy's & St. Thomas' Hospitals, London, UK.
Scand J Plast Reconstr Surg Hand Surg. 2001 Sep;35(3):323-8. doi: 10.1080/028443101750523267.
The aetiology of painful dorsal wrist ganglia remains obscure. In a prospective study we investigated the link between a painful dorsal wrist ganglion and wrist joint abnormality with wrist arthroscopy before excision of the ganglion. Of 16 wrists arthroscoped 12 were abnormal, 10 had an abnormal scapholunate joint, and two had abnormal lunatetriquetral joints. We think that painful dorsal wrist ganglia, like popliteal cysts in the knee, are markers of underlying joint abnormalities. Surgeons who treat painful ganglia should be aware of a possible underlying cause so that they can target treatment more accurately, particularly in recurrent cases and those patients with persistent wrist pain after excision of the ganglion.
疼痛性腕背腱鞘囊肿的病因仍不明确。在一项前瞻性研究中，我们在腱鞘囊肿切除术前通过腕关节镜检查，研究了疼痛性腕背腱鞘囊肿与腕关节异常之间的联系。在接受关节镜检查的16只手腕中，12只存在异常，10只舟月关节异常，2只月三角关节异常。我们认为，疼痛性腕背腱鞘囊肿与膝关节腘窝囊肿一样，是潜在关节异常的标志。治疗疼痛性腱鞘囊肿的外科医生应意识到可能存在的潜在病因，以便更准确地进行治疗，尤其是在复发病例以及腱鞘囊肿切除术后仍有持续腕部疼痛的患者中。
