Watson H K, Rogers W D, Ashmead D
Connecticut Combined Hand Service, Hartford Hospital.
J Hand Surg Am. 1989 Sep;14(5):812-7. doi: 10.1016/s0363-5023(89)80080-2.
The cause of the wrist ganglion is uncertain. We reviewed our experience with rotary subluxation of the scaphoid after ganglion excision. Seventeen patients had triscaphe arthrodesis for treatment of rotary subluxation of the scaphoid at an average of 35 months (range, 6 to 130 months) after ganglion excision. In addition, dynamic or static rotary subluxation of the scaphoid was found in 8 of 10 patients who were examined at an average of 16 years (range, 11 to 19 years) after excision of a ganglion. These patients had no symptoms at the time of review. Only single case reports of rotary subluxation of the scaphoid after ganglion excision have been previously reported. We believe our data supports a hypothesis that the ganglion is a secondary manifestation of underlying periscaphoid ligamentous injury. Persistent symptoms after ganglion excision should lead one to suspect underlying scaphoid instability.
腕部腱鞘囊肿的病因尚不确定。我们回顾了腱鞘囊肿切除术后舟骨旋转半脱位的治疗经验。17例患者在腱鞘囊肿切除术后平均35个月（范围6至130个月）接受了三关节融合术治疗舟骨旋转半脱位。此外，在腱鞘囊肿切除术后平均16年（范围11至19年）接受检查的10例患者中，有8例发现舟骨动态或静态旋转半脱位。这些患者在复查时无症状。此前仅有腱鞘囊肿切除术后舟骨旋转半脱位的个案报道。我们认为我们的数据支持这样一种假说，即腱鞘囊肿是潜在的舟骨周围韧带损伤的继发表现。腱鞘囊肿切除术后持续存在的症状应引起人们对潜在舟骨不稳定的怀疑。
