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腕背侧和掌侧腱鞘囊肿的关节镜治疗

Arthroscopic Management of Dorsal and Volar Wrist Ganglion.

作者信息

Mathoulin Christophe, Gras Mathilde

机构信息

Institut de la Main, Clinique BIZET, 23 Rue Georges BIZET, Paris 75116, France.

Institut de la Main, Clinique BIZET, 23 Rue Georges BIZET, Paris 75116, France.

出版信息

Hand Clin. 2017 Nov;33(4):769-777. doi: 10.1016/j.hcl.2017.07.012.

Abstract

Dorsal and volar wrist ganglions are benign tumors; most of them are asymptomatic. They can disappear spontaneously. Arthroscopic resection can be performed for pain or cosmetic concern. Dorsal ganglion is more common (70%). The hypothesis of the origin is the result of mucoid dysplasia in association with intracapsular and extrasynovial ganglia that occur at the level of the dorsal scapholunate complex. Volar wrist ganglia are less common (20%) and occur mainly in the radiocarpal joint. They are due to capsular destruction at the volar insertion of the SL ligament and arise from the interval between radio scaphocapitate and long radiolunate ligament.

摘要

腕背侧和掌侧腱鞘囊肿是良性肿瘤;大多数无症状。它们可自行消失。因疼痛或美观问题可进行关节镜下切除。背侧腱鞘囊肿更常见(70%)。其起源假说认为是与发生于背侧舟月复合体水平的关节内和滑膜外腱鞘囊肿相关的黏液样发育异常所致。腕掌侧腱鞘囊肿较少见(20%),主要发生于桡腕关节。它们是由于舟月韧带掌侧附着处的关节囊破坏,起源于桡舟头韧带和桡月长韧带之间的间隙。

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