Cebesoy Oguz
Orthopedic and Traumatology Department, Gaziantep University Faculty of Medicine, 27060 Gaziantep, Turkey.
J Am Podiatr Med Assoc. 2007 Sep-Oct;97(5):424-7. doi: 10.7547/0970424.
Intraosseous ganglion, which is generally seen in metaphyseal-epiphyseal regions of long bones, is not a rare disorder. It is extremely rare in the talus, however. Differential diagnosis of a cystic talar lesion should include enchondroma, chondroblastoma, giant cell tumor, and unicameral bone cyst. This article presents a case of intraosseous ganglion of the talus in a 38-year-old woman treated with a new surgical approach and technique. The patient had mild ankle pain at the arc of motion in her right ankle that increased with activity. Radiographs and magnetic resonance images showed a cystic lesion in the medial side of the talar dome. It was treated by curettage and autocorticocancellous bone grafting through an opening in the talonavicular joint without disturbing the intact talar dome cartilage. One month after the operation, the patient had an excellent clinical outcome. This approach and technique can be used to treat other lesions of the talus that do not involve the joint space.
骨内腱鞘囊肿一般见于长骨干骺端-骨骺区域，并非罕见疾病。然而，在距骨中极为罕见。距骨囊性病变的鉴别诊断应包括内生软骨瘤、成软骨细胞瘤、骨巨细胞瘤和单房性骨囊肿。本文介绍了一例38岁女性距骨骨内腱鞘囊肿病例，采用了一种新的手术入路和技术进行治疗。患者右踝关节活动弧处有轻度疼痛，活动时加重。X线片和磁共振成像显示距骨穹窿内侧有一囊性病变。通过距舟关节开口进行刮除和自体皮质松质骨移植治疗，未扰动完整的距骨穹窿软骨。术后1个月，患者临床效果极佳。该入路和技术可用于治疗距骨其他不涉及关节间隙的病变。
