Lee H-J, Kim P-T, Jeon I-H, Kyung H-S, Ra I-H, Kim T-K
1Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Republic of Korea.
J Hand Surg Eur Vol. 2014 Mar;39(3):258-61. doi: 10.1177/1753193413478549. Epub 2013 Mar 6.
Osteophyte excision is a mainstay of treatment for mucous cyst combined with Heberden's node in a distal interphalangeal joint or in an interphalangeal joint of the thumb. The aim of this study was to evaluate the results of osteophyte excision without cyst excision for the treatment of a mucous cyst combined with Heberden's node. The medical records of 37 patients (42 cases) with a mucous cyst with Heberden's node were retrospectively reviewed. Thirty-eight of 40 cases with available pre-operative simple radiographs showed evidence of joint arthrosis. A T-shaped skin incision of the joint capsule between the extensor tendon and lateral collateral ligament was used. Osteophyte excision without cyst excision was performed. All cysts, except one, regressed without recurrence or a skin complication after osteophyte excision, but eight cases showed post-operative pain and loss of range of motion. Osteophyte excision without cyst excision may be a good treatment choice for mucous cyst of the finger.
骨赘切除术是治疗远端指间关节或拇指指间关节黏液囊肿合并赫伯登结节的主要方法。本研究的目的是评估不切除囊肿仅行骨赘切除术治疗黏液囊肿合并赫伯登结节的效果。回顾性分析了37例（42个病例）黏液囊肿合并赫伯登结节患者的病历。40例有术前简单X线片的病例中，38例显示有关节性关节炎的证据。采用在伸肌腱和外侧副韧带之间的关节囊处做T形皮肤切口。未切除囊肿仅进行骨赘切除。除1例囊肿外，所有囊肿在骨赘切除后均消退，无复发或皮肤并发症，但8例出现术后疼痛和活动范围丧失。不切除囊肿仅行骨赘切除术可能是手指黏液囊肿的一种良好治疗选择。
