Reyniers Pieter, De Smet Luc, Degreef Ilse
Acta Orthop Belg. 2017 Jun;83(2):322-325.
Recurrence after primary resection of a dorsal wrist ganglion may necessitate a reintervention. A technique was introduced in 2004 in which a flap of the extensor retinaculum is used to cover the defect left in the wrist capsule following repeat radical excision. This retrospective study presents the follow-up 4.6 years after this surgery in 20 patients. Recurrence, grip strength and possible flexion deficit are measured in 13 patients who attended clinic, as well as pain and satisfaction scores. Disability scores have been evaluated in 18 patients. One refractory patient was ascertained. A flexion deficit ≤ 10° was observed in 7 patients. Overall, mild pain, very mild disability, a flexion deficit of 14.2° and a loss of grip strength of 3.6 kg was observed. The retinaculum flap for recurrent dorsal wrist ganglion is a reliable procedure with limited risk for flexion deficit after surgery, high satisfaction rate and low recurrence risk.
手腕背侧腱鞘囊肿初次切除术后复发可能需要再次干预。2004年引入了一种技术，即使用伸肌支持带瓣覆盖重复根治性切除术后腕关节囊留下的缺损。这项回顾性研究展示了20例患者在该手术后4.6年的随访情况。对13名到门诊就诊的患者测量了复发情况、握力和可能存在的屈曲功能障碍，以及疼痛和满意度评分。对18名患者评估了残疾评分。确定有1例难治性患者。7名患者观察到屈曲功能障碍≤10°。总体而言，观察到有轻度疼痛、非常轻微的残疾、14.2°的屈曲功能障碍以及3.6 kg的握力丧失。用于复发性手腕背侧腱鞘囊肿的支持带瓣是一种可靠的手术方法，术后出现屈曲功能障碍的风险有限，满意度高且复发风险低。
