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交叉韧带腱鞘囊肿:31 例系列病例并文献复习。

Ganglion cysts of the cruciate ligaments: a series of 31 cases and review of the literature.

机构信息

The Orthopaedic Department of the Second Affiliated Hospital of Soochow University, No, 1055 of San Xiang Road, Suzhou 215004, China.

出版信息

BMC Musculoskelet Disord. 2012 Aug 3;13:137. doi: 10.1186/1471-2474-13-137.

Abstract

BACKGROUND

A case series for ganglion cyst of the cruciate ligament with MRI findings, clinical presentation, and management options along with review of literature is presented.

METHODS

Of 8663 consecutive patients referred for knee MR imaging, 31 were diagnosed with ganglion cysts of the cruciate ligaments, including 21 men and 10 women of ages 12 to 73 years (mean: 37). A review of charts revealed that knee pain was the chief complaint in all cases. Arthroscopic debridement of ganglion cyst was performed in 11 patients.

RESULTS

MRI proved to be a valuable tool in diagnosing and deciding management of these cases. All 11 patients who underwent arthroscopic treatment were symptom-free on a minimum follow-of one year.

CONCLUSION

Cyst formation associated with cruciate ligament of the knee is an infrequent cause of knee pain. MR imaging was important in confirming the cyst lesions and provided useful information prior to arthroscopy. Arthroscopic debridement of ganglion cyst produced excellent outcome without recurrence. This study describes the pertinent MRI and intraoperative findings of ganglion cyst.

摘要

背景

本文呈现了一个十字韧带腱鞘囊肿的病例系列,包括 MRI 表现、临床表现、治疗选择,并对文献进行了回顾。

方法

在对 8663 例连续膝关节 MRI 检查的患者中,有 31 例被诊断为十字韧带腱鞘囊肿,包括 21 名男性和 10 名女性,年龄 12-73 岁(平均 37 岁)。对图表的回顾显示,所有病例的主要主诉均为膝关节疼痛。11 例患者行关节镜下囊肿切除术。

结果

MRI 被证明是诊断和决定这些病例治疗方案的有价值的工具。所有接受关节镜治疗的 11 例患者在至少一年的随访中均无症状。

结论

膝关节十字韧带的囊肿形成是膝关节疼痛的一个不常见原因。MRI 成像在确认囊肿病变方面非常重要,并且在关节镜检查前提供了有用的信息。关节镜下切除腱鞘囊肿可获得良好的效果,无复发。本研究描述了腱鞘囊肿的相关 MRI 和术中发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14ec/3493367/15f050ce415a/1471-2474-13-137-1.jpg

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