Ziegler L, Küffer G, Euler E, Wilhelm K
Radiologische Klinik und Poliklinik, Universität München.
Rofo. 1990 Aug;153(2):143-6. doi: 10.1055/s-2008-1033352.
In the genesis of ganglions synovial herniation is discussed with an existence of a valve mechanism which prevents the synovial fluid from returning into the joint space. Arthrography of the wrist was performed in 34 patients with suspicion of ganglions on the dorsal and volar aspect of the wrist. By injection of contrast medium in 6 cases directly into the ganglion no connection with the carpal joint cavity was seen. On the contrary, wrist arthrography with examination of the midcarpal and radiocarpal joint showed regularly a communication by a torturous narrow duct between the midcarpal joint and the dorsal ganglion and the radiocarpal joint and the volar ganglion. Other pathologic findings were seen, like tears of the scapholunate ligament and of the triangular fibrocartilage. The consequences for surgical therapy and conclusions for the aetiology of the ganglions are shown.
在腱鞘囊肿的成因中，讨论了滑膜疝出以及存在防止滑液回流到关节腔的瓣膜机制。对34例怀疑腕背侧和掌侧有腱鞘囊肿的患者进行了腕关节造影。在6例中直接将造影剂注入腱鞘囊肿，未发现与腕关节腔有联系。相反，对腕中关节和桡腕关节进行检查的腕关节造影显示，腕中关节与背侧腱鞘囊肿之间以及桡腕关节与掌侧腱鞘囊肿之间通常通过一条迂曲狭窄的管道相通。还发现了其他病理表现，如舟月韧带和三角纤维软骨撕裂。展示了手术治疗的后果以及腱鞘囊肿病因学的结论。
