Medical Imaging Department, Royal Children's Hospital, 50 Flemington Road, Parkville, Melbourne, VIC, 3052, Australia,
Pediatr Radiol. 2013 Dec;43(12):1622-8. doi: 10.1007/s00247-013-2751-9. Epub 2013 Jul 23.
The majority of published literature on ganglion cysts in children has been from a surgical perspective, with no dedicated radiologic study yet performed.
Our aim was to assess the magnetic resonance (MR) imaging appearance of ganglion cysts in a series of paediatric MR wrist examinations.
Ninety-seven consecutive paediatric MR wrist examinations were retrospectively reviewed for the presence of ganglion cysts. Only those studies with wrist ganglia were included. Cysts were assessed for location, size, internal characteristics and secondary effect(s).
Forty-one ganglion cysts (2-32 mm in size) were seen in 35/97 (36%) patients (24 female, 11 male), mean age: 13 years 11 months (range: 6 years 3 months-18 years). The majority were palmar (63.4%) with the remainder dorsal. Of the cysts, 43.9% were related to a wrist ligament(s), 36.6% to a joint and 17.1% to the triangular fibrocartilage complex. Of the patients, 91.4% had wrist symptoms: pain (n=29, 82.9%), swelling (n=7, 20%) and/or palpable mass (n=4, 11.4%); 71.4% patients had significant additional wrist abnormalities.
Ganglion cysts were frequently found in children referred for wrist MRI.
大多数关于儿童腱鞘囊肿的已发表文献均来自于手术视角，尚未有专门的放射学研究。
我们旨在评估一系列儿童腕关节磁共振成像（MR）检查中腱鞘囊肿的 MR 成像表现。
回顾性分析 97 例连续的儿童腕关节 MR 检查，以评估是否存在腱鞘囊肿。仅纳入存在腕部腱鞘囊肿的研究。评估囊肿的位置、大小、内部特征和继发效应。
35 例（24 例女性，11 例男性）97 例（36%）患者中发现 41 个腱鞘囊肿（大小为 2-32mm），平均年龄为 13 岁 11 个月（范围：6 岁 3 个月-18 岁）。大多数位于手掌侧（63.4%），其余位于背侧。囊肿 43.9%与腕部韧带有关，36.6%与关节有关，17.1%与三角纤维软骨复合体有关。91.4%的患者有腕部症状：疼痛（n=29，82.9%）、肿胀（n=7，20%）和/或可触及肿块（n=4，11.4%）；71.4%的患者有明显的腕部其他异常。
儿童腕关节 MRI 检查中腱鞘囊肿较为常见。
