Zarezadeh Abolghasem, Nourbakhsh Mohsen, Shemshaki Hamidreza, Etemadifar Mohammad Reza, Mazoochian Farhad
Department of Orthopedic, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2012 Aug;3(8):581-4.
Intraosseous ganglia are benign cysts that usually can be seen in lower extremity; especially around ankle. These cysts have fewer incidences in upper extremity, mainly around the wrist. They are extremely rare in olecranon. These lesions are often asymptomatic. Patient was a 75-year-old man who had trauma many years ago. When he came to our clinic, he complained of severe pain around his elbow that he could not do ordinary activity. He had local tenderness in elbow and 30 degree limitation in extension. In radiography, lytic, multiloculated lesion existed in region of olecranon. After excisional biopsy was done, cavity was cleaned completely with curette and was filled with autogenous bone. At 10-year follow-up, the patient was completely asymptomatic. Control radiograph showed cavity filled completely by bone; there was no evidence of relapse.
骨内腱鞘囊肿是一种良性囊肿,通常可见于下肢,尤其是踝关节周围。这些囊肿在上肢的发生率较低,主要位于腕部周围。在鹰嘴部位极为罕见。这些病变通常无症状。患者为一名75岁男性,多年前曾受过外伤。当他前来我们诊所时,主诉肘部周围剧痛,无法进行日常活动。他肘部有局部压痛,伸展受限30度。在X线检查中,鹰嘴区域存在溶骨性、多房性病变。切除活检后,用刮匙彻底清理腔隙,并用自体骨填充。在10年的随访中,患者完全无症状。对照X线片显示腔隙已完全被骨填充;没有复发的迹象。