Ghatan Andrew C, Carlson Erik J, Athanasian Edward A, Weiland Andrew J
Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY.
Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY.
J Hand Surg Am. 2014 May;39(5):919-22. doi: 10.1016/j.jhsa.2014.02.010. Epub 2014 Mar 24.
We present 2 cases that demonstrate the potential for tendon involvement in the presence of a carpal boss. In the first, a patient presented with tendon rupture without antecedent pain. In the second, pain and tendon irritation prompted magnetic resonance imaging that revealed tendon fraying, which was confirmed at surgery. These cases illustrate the potential for tendinous sequelae of a carpal boss. Advanced imaging may be considered when tendon irritation is clinically suspected. Attention to the possibility of tendon rupture in the setting of an otherwise asymptomatic carpal boss is advised.
我们报告2例病例，其显示了腕部腱鞘囊肿存在时肌腱受累的可能性。第一例中，一名患者出现肌腱断裂，之前并无疼痛。第二例中，疼痛和肌腱刺激促使进行磁共振成像，结果显示肌腱磨损，手术中得到证实。这些病例说明了腕部腱鞘囊肿肌腱后遗症的可能性。当临床上怀疑有肌腱刺激时，可考虑采用先进的成像检查。建议注意在无症状的腕部腱鞘囊肿情况下出现肌腱断裂的可能性。
