Yamamoto Michiro, Kurimoto Shigeru, Iwatsuki Katsuyuki, Nishizuka Takanobu, Nolte Michael T, Hirata Hitoshi
Acta Orthop Belg. 2018 Mar;84(1):78-83.
The purpose of this study was to compare the treatment results of sonography-guided arthroscopic excision for volar and dorsal wrist ganglions. A total of 42 patients with wrist ganglions underwent sonography-guided arthroscopic resection. Clinical outcome measures included wrist range of motion, grip strength, patient-rated questionnaire Hand20, and numerical pain rating scale. All patients were assessed for recurrence throughout the follow-up period. Ganglions were located at the dorsal wrist in 26 cases and at the volar wrist in 16 cases. The mean Hand20 and pain scores were significantly improved after sonography-guided arthroscopic resection for both volar and dorsal wrist ganglions. Recurrence was seen in six cases (23%) of dorsal wrist ganglion but no cases of volar wrist ganglion (P < .05). The use of sonography-guided arthroscopic ganglion excision is better for treating volar wrist ganglion than dorsal wrist ganglion.
本研究的目的是比较超声引导下关节镜切除治疗掌侧和背侧腕部腱鞘囊肿的治疗效果。共有42例腕部腱鞘囊肿患者接受了超声引导下关节镜切除术。临床结局指标包括腕关节活动范围、握力、患者自评问卷Hand20以及数字疼痛评分量表。在整个随访期间对所有患者进行复发评估。腱鞘囊肿位于腕背侧26例，位于腕掌侧16例。超声引导下关节镜切除术后，掌侧和背侧腕部腱鞘囊肿的Hand20平均评分和疼痛评分均有显著改善。背侧腕部腱鞘囊肿有6例（23%）复发，而掌侧腕部腱鞘囊肿无复发病例（P < 0.05）。超声引导下关节镜腱鞘囊肿切除术治疗掌侧腕部腱鞘囊肿比背侧腕部腱鞘囊肿效果更好。
