Lui Tun Hing
Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, New Territory, Hong Kong Special Administrative Region, China.
J Foot Ankle Surg. 2013 Jul-Aug;52(4):529-32. doi: 10.1053/j.jfas.2013.03.034. Epub 2013 May 2.
A subchondral cyst of the talus frequently occurs with an osteochondral lesion of the talar dome. Debridement, curettage, and bone grafting through the articular defect was frequently the recommended treatment in reported studies for a massive cyst. We report a case of a massive cyst of the talar body with a small osteochondral lesion of the talar dome. Our patient was successfully treated by curettage and bone grafting of the cyst using posterior ankle arthroscopy, with minimal disruption of the articular surface of the talar dome.
距骨的软骨下囊肿常与距骨穹窿的骨软骨损伤同时出现。在已报道的研究中，对于巨大囊肿，通过关节缺损进行清创、刮除和植骨常常是推荐的治疗方法。我们报告一例距骨体巨大囊肿合并距骨穹窿小骨软骨损伤的病例。我们的患者通过后踝关节镜对囊肿进行刮除和植骨，成功治愈，距骨穹窿关节面的破坏最小。
