Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, China.
Arthrosc Tech. 2015 Nov 9;4(6):e651-4. doi: 10.1016/j.eats.2015.07.013. eCollection 2015 Dec.
Resection of the ganglion of the elbow is indicated if the size or location of the cyst impairs function or causes significant pain. Arthroscopic decompression or endoscopic resection of the cyst is the minimally invasive surgical option. It has the potential advantage of better cosmetic results and less soft-tissue dissection. Endoscopic resection is indicated if the cyst is not communicating with the joint or the communication is not identifiable arthroscopically or if there is a long and narrow communication placing the cyst away from the elbow joint. Preoperative magnetic resonance imaging is essential for surgical planning.
如果囊肿的大小或位置损害功能或引起严重疼痛，则表明需要切除肘部腱鞘囊肿。关节镜下囊肿减压或内镜下切除是微创手术选择。它具有潜在优势，即美容效果更好且软组织分离更少。如果囊肿不与关节相通，或关节镜下无法识别相通情况，或存在长而窄的相通情况使囊肿远离肘关节，则适合进行内镜下切除。术前磁共振成像对于手术规划至关重要。
