关节镜下足部和踝关节神经节切除术。
Arthroscopic ganglionectomy of the foot and ankle.
机构信息
Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong SAR, China,
出版信息
Knee Surg Sports Traumatol Arthrosc. 2014 Jul;22(7):1693-700. doi: 10.1007/s00167-012-2065-8. Epub 2012 May 31.
PURPOSE
To study the efficacy of arthroscopic ganglionectomy in the management of ganglia of the foot and ankle.
METHODS
From 2006 to 2010, arthroscopic ganglionectomy was performed for 89 ganglia in the foot and ankle of 88 patients. Clinical and intra-operative details were reviewed retrospectively.
RESULT
Ganglion stalk was identified in 6 % of the cases. The overall rate of presence of pathology was 26 %. The overall rate of recurrence or residual lesion was 12 % with high recurrent rate for extensor tendon ganglia and toe pulp ganglia.
CONCLUSIONS
Arthroscopic ganglionectomy of the foot and ankle ganglion by either internal drainage or complete resection is a feasible approach. Good results can be achieved in case of adequate internal drainage of the ganglion to the joints or fibrous tendon sheath.
目的
研究踝关节镜下神经节切除术治疗足部和踝部神经节的疗效。
方法
2006 年至 2010 年，对 88 例患者的 89 个足部和踝部神经节行踝关节镜下神经节切除术。回顾性分析临床和术中细节。
结果
6%的病例中发现神经节干。总的病理学存在率为 26%。总的复发或残留病变率为 12%，伸肌腱神经节和趾腹神经节的复发率较高。
结论
通过内部引流或完全切除的踝关节镜下治疗足部和踝部神经节是一种可行的方法。如果充分将神经节内引流到关节或纤维腱鞘中，可以获得良好的效果。
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