Bojanić Ivan, Dimnjaković Damjan, Smoljanović Tomislav
Department of Orthopedic Surgery, Zagreb University Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia.
Acta Clin Croat. 2017 Sep;56(3):359-368. doi: 10.20471/acc.2017.56.03.01.
The aim of this study was to describe relevant medical history, clinical symptoms and outcomes in 12 patients having undergone surgical treatment of intra-articular ganglion cysts of the knee at our Department from January 2010 to June 2016. Patient demographics, medical history, knee manifestations, management and outcome were evaluated. The mean patient age was 26.4 (range, 16-46) years. Th ere were seven female and five male patients. Duration of symptoms prior to the operation varied from 2 months to 3 years (mean, 17.1 months). All patients had preoperative magnetic resonance imaging work-up of the knee. Pain was the most common clinical presentation. All patients were surgically treated arthroscopically, and an additional open approach was used in only one of the patients. There were no complications during surgery and the postoperative period was uneventful in all patients. The mean follow up period was 43.5 (range, 9-83) months and no recurrence was observed. All patients remained symptom-free with full range of motion at final follow up. Despite a wide range of intra-articular ganglion cyst presentations and symptoms, our cohort demonstrated an excellent remission rate and functional prognosis following surgical treatment of the ganglion cysts of the knee.
本研究的目的是描述2010年1月至2016年6月期间在我院接受膝关节关节内腱鞘囊肿手术治疗的12例患者的相关病史、临床症状及治疗结果。评估了患者的人口统计学资料、病史、膝关节表现、治疗方法及治疗结果。患者的平均年龄为26.4岁(范围16 - 46岁),其中女性7例,男性5例。术前症状持续时间从2个月至3年不等(平均17.1个月)。所有患者术前均接受了膝关节磁共振成像检查。疼痛是最常见的临床表现。所有患者均接受了关节镜手术治疗,仅1例患者采用了额外的开放手术方式。手术过程中无并发症发生,所有患者术后恢复顺利。平均随访时间为43.5个月(范围9 - 83个月),未观察到复发情况。在最后一次随访时,所有患者均无症状,膝关节活动范围正常。尽管关节内腱鞘囊肿的表现和症状多种多样,但我们的研究队列显示,膝关节腱鞘囊肿手术治疗后缓解率良好,功能预后优良。