Morón Miguel, Oellig Florian, Sánchez Tomás
Department of Hand and Plastic Surgery, Kantonsspital Aarau, Tellstraße, 5001 Aarau, Switzerland.
Department of Orthopaedic Surgery, Kantonsspital Olten, Baslerstraße 150, 4600 Olten, Switzerland.
Case Rep Orthop. 2014;2014:834063. doi: 10.1155/2014/834063. Epub 2014 Nov 3.
The etiologies of Keinböck's disease and intraosseous ganglion remain unknown. Both entities are rare and the coexistence of these two pathologies in the same patient and hand is even less frequent. We report the case of a 40-year-old man with a longstanding history of martial arts practice (karate) who developed an avascular necrosis of the lunate concomitant with a giant intraosseous ganglion of the scaphoid bone successfully managed by proximal row carpectomy. We review the literature of these two diseases.
月骨无菌性坏死和骨内腱鞘囊肿的病因尚不清楚。这两种疾病均较为罕见,而同一患者同一手部同时存在这两种病变的情况则更为少见。我们报告一例40岁男性病例,该患者有长期武术(空手道)练习史,发生了月骨缺血性坏死,同时伴有舟骨巨大骨内腱鞘囊肿,经近端排腕骨切除术成功治疗。我们回顾了这两种疾病的相关文献。