髋关节滑膜囊肿作为L5神经根病的罕见病因：一例报告
Synovial Ganglion of the Hip as a Rare Cause of L5 Radiculopathy: A Case Report.
作者信息
Briem Tim, Haemmerle Gerard, Kramers-de Quervain Inès, Leunig Michael
机构信息
Departments of Orthopaedics-Lower Extremities (T.B. and M.L.), Manual Medicine (G.H.), and Rheumatology (I.K.-de Q.), Schulthess Clinic, Zurich, Switzerland.
出版信息
JBJS Case Connect. 2016 Jul-Sep;6(3):e59. doi: 10.2106/JBJS.CC.15.00234.
CASE
We report a rare case of a dorsal synovial ganglion of the left hip causing L5 radiculopathy in a 48-year-old woman. After a 12-month history of intermittent pain in the groin, left buttock, and left lower limb, magnetic resonance imaging (MRI) of the pelvis revealed a 10-cm-long cystic ganglion. The lesion originated from the posterior aspect of the hip joint capsule and extended through the sciatic notch toward the L5 nerve root, causing severe nerve compression. Open resection of the ganglion via surgical hip subluxation was performed.
CONCLUSION
Combined presentation of symptoms attributable to intrinsic hip disease and peripheral radiculopathy should raise suspicion for a shared cause of these entities.
病例
我们报告了一例罕见的左侧髋关节背侧滑膜囊肿病例，该囊肿导致一名48岁女性出现L5神经根病。在腹股沟、左臀部和左下肢间歇性疼痛12个月后，骨盆磁共振成像（MRI）显示一个10厘米长的囊性囊肿。该病变起源于髋关节囊的后侧，经坐骨切迹向L5神经根延伸，导致严重的神经受压。通过髋关节半脱位手术对囊肿进行了开放性切除。
结论
由髋关节内在疾病和周围神经根病引起的症状联合出现，应怀疑这些病症存在共同病因。
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