Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
Arthrosc Tech. 2017 Sep 4;6(5):e1459-e1463. doi: 10.1016/j.eats.2017.06.002. eCollection 2017 Oct.
Palmar ganglion is rare. Deep palmar ganglion usually arises from the wrist joint and may cause compression neuropathy. Superficial palmar ganglion may arise from the flexor tendons of the wrist. The chance of compression neuropathy is expected to be less than deep palmar ganglion. However, there is a higher chance of perforation through the skin and the ganglion may affect hand grip. Open resection of the ganglion does not require extensive deep soft tissue dissection. However, the skin incision can still be extensile to trace the stalk to the tendon of origin. The purpose of this Technical Note is to report the details of endoscopic ganglionectomy for superficial palmar ganglion arising from the flexor carpi radialis tendon.
掌部腱鞘囊肿较为罕见。掌深部腱鞘囊肿通常起源于腕关节,可能导致压迫性神经病变。掌浅部腱鞘囊肿可能起源于腕部的屈肌腱。发生压迫性神经病变的几率预计低于掌深部腱鞘囊肿。然而,其穿透皮肤的几率较高,且腱鞘囊肿可能影响握力。腱鞘囊肿的开放性切除不需要广泛的深部软组织分离。不过,皮肤切口仍可延长,以追踪囊肿蒂至其起源的肌腱。本技术说明的目的是报告经内镜腱鞘囊肿切除术治疗桡侧腕屈肌腱起源的掌浅部腱鞘囊肿的详细情况。