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创伤后腓深神经鞘内神经节囊肿导致的快速进展性足下垂。

A rapidly progressive foot drop caused by the posttraumatic Intraneural ganglion cyst of the deep peroneal nerve.

作者信息

Lu Hui, Chen LiFeng, Jiang Shuai, Shen Hui

机构信息

Department of Hand Surgery, The First Affiliated Hospital, College of Medcine, ZheJiang University, 79# Qingchun Road, HangZhou, ZheJiang Province, 310003, People's Republic of China, PR.

Department of Medical Engineering, The First Affiliated Hospital, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China.

出版信息

BMC Musculoskelet Disord. 2018 Aug 18;19(1):298. doi: 10.1186/s12891-018-2229-x.

Abstract

BACKGROUND

Intraneural ganglion cysts usually arise from the articular branch of the nerve. The relationship between intraneural ganglion cysts and trauma is not clear.

CASE PRESENTATION

We report a case of a 62-year-old female with a rapidly progressive foot drop caused by a posttraumatic intraneural ganglion cyst of the deep peroneal nerve. We excised the ganglion cyst and performed nerve decompression. After the surgery, the patient had a functional recovery.

CONCLUSIONS

The concurrence of an intraneural ganglion cyst and trauma may increase damage to the nerve, although it is difficult to diagnosis before an operation. Early diagnosis and early proactive interventions would likely be associated with a good outcome.

摘要

背景

神经内腱鞘囊肿通常起源于神经的关节分支。神经内腱鞘囊肿与创伤之间的关系尚不清楚。

病例报告

我们报告一例62岁女性,因创伤后腓深神经神经内腱鞘囊肿导致快速进展性足下垂。我们切除了腱鞘囊肿并进行了神经减压。术后,患者功能恢复。

结论

神经内腱鞘囊肿与创伤同时存在可能会增加对神经的损伤,尽管术前难以诊断。早期诊断和早期积极干预可能会带来良好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20a0/6098828/ec0c5e6ed084/12891_2018_2229_Fig1_HTML.jpg

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