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[腕骨骨内腱鞘囊肿。强调系统计算机断层扫描重要性的文献综述]

[Intra-osseous ganglion cyst of the carpal bones. A review of the literature underlining the importance of systematic computed tomography].

作者信息

Dumas P, Georgiou C, Chignon-Sicard B, Balaguer T, Lebreton E, Dumontier C

机构信息

Service de chirurgie plastique, réparatrice, esthétique et chirurgie de la main, hôpital Saint-Roch, 5, Pierre-Dévoluy, 06000 Nice, France.

出版信息

Chir Main. 2013 Feb;32(1):3-7. doi: 10.1016/j.main.2012.10.163. Epub 2012 Oct 31.

Abstract

The intraosseous ganglion cyst (IOGC) is a benign and lytic bone tumor affecting mostly the metaphyseal and epiphyseal regions of long bones. Its location on the short bones, including the carpal bones has been little reported in the literature. Our review of the literature shows consensus about the surgical techniques to use, but there is currently no real consensus about its pathophysiology, and its diagnostic work-up. Complications related to this lesion (mainly the risk of pathologic fracture) are potentially serious, and can cause irreversible damage. They therefore require accurate assessment to guide the choice of medical or surgical treatment, including a CT scan, which - we believe - is essential.

摘要

骨内腱鞘囊肿(IOGC)是一种良性溶骨性骨肿瘤,主要累及长骨的干骺端和骨骺区域。其在包括腕骨在内的短骨上的发生情况在文献中鲜有报道。我们对文献的回顾显示,对于所采用的手术技术存在共识,但目前对于其病理生理学及诊断检查尚无真正的共识。与该病变相关的并发症(主要是病理性骨折风险)可能很严重,并可导致不可逆转的损害。因此,需要进行准确评估以指导药物或手术治疗的选择,包括CT扫描,我们认为这是必不可少的。

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