Chen Ying-Chieh, Wang Shyu-Jye, Shen Pei-Hung, Huang Guo-Shu, Lee Herng-Sheng, Wu Shing-Sheng
Department of Orthopedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
J Chin Med Assoc. 2007 May;70(5):222-6. doi: 10.1016/S1726-4901(09)70363-6.
We report a very rare case of intraosseous ganglion cyst of the capitate in a 54-year-old female who complained of a painful right wrist mass for 1 year. Computed tomography study showed an expansile osteolytic lesion with sclerotic margin and thinning of the cortex. Combined soft tissue ganglion cyst was also noted at operation and confirmed by pathologic study. The case was treated by a new method of autogenous bone marrow and fibrin clot graft after intralesional curettage. After a 2-year follow-up, the capitate revealed complete bony union and the symptoms were relieved with good functional results.
我们报告了一例非常罕见的头状骨骨内腱鞘囊肿病例，患者为一名54岁女性，主诉右侧腕部肿物伴疼痛1年。计算机断层扫描显示为一膨胀性溶骨性病变，边缘硬化，皮质变薄。术中还发现合并有软组织腱鞘囊肿，并经病理研究证实。该病例采用病灶内刮除后自体骨髓和纤维蛋白凝块移植的新方法进行治疗。经过2年的随访，头状骨显示完全骨性愈合，症状缓解，功能恢复良好。
