Andrew's Sports Medicine and Orthopedic Center, American Sports Medicine Institute, Birmingham, AL.
PM R. 2019 Jul;11(7):779-782. doi: 10.1002/pmrj.12084. Epub 2019 Apr 3.
A 44-year-old woman with a history of an open ganglionectomy 2 years prior presented with a recurrent ganglion cyst. The ganglion cyst, extending from the flexor hallucis longus tendon sheath, was confirmed with magnetic resonance imaging. The patient declined another surgical incision. An experimental procedure was performed: ultrasound-guided ganglionectomy using a coablation wand. She achieved full symptom resolution, with no recurrence 1 year afterwards. To our knowledge, this is the first case report in the literature describing the use of this instrument for treating a ganglion cyst.
一位 44 岁的女性,2 年前曾行开放性腱鞘囊肿切除术,现因复发性腱鞘囊肿就诊。磁共振成像显示囊肿从屈趾长肌腱鞘延伸。患者拒绝再次手术切开。我们采用了一种实验性方法:超声引导下使用 coablation wand 进行腱鞘囊肿切除术。术后患者症状完全缓解,1 年后无复发。据我们所知,这是文献中首例描述使用该器械治疗腱鞘囊肿的病例报告。