Reid Jenny, Baker Jill, Davidson Dominique
1 Department of Plastic Surgery, St John's Hospital, Edinburgh, UK.
J Hand Surg Asian Pac Vol. 2019 Mar;24(1):116-117. doi: 10.1142/S242483551972007X.
We present the case of a fit and well 62-year-old male with Dupuytren's disease in the right hand who underwent percutaneous needle fasciotomy (PNF) for a moderate flexion contracture of the right little finger. 18 months later he developed a pain-free soft tissue swelling at the distal previous needling site. A fasciectomy procedure identified a cyst within the pre-tendinous cord, which was confirmed as a dermoid inclusion cyst on histological analysis. Dermoid inclusion cysts may occur in the hands at the site of penetrating trauma but we are unaware of any report of an inclusion cyst at the site of PNF surgery. We present this unique case of a dermoid inclusion cyst following percutaneous needle fasciotomy as a novel complication.
我们报告一例身体健康的62岁男性，其右手患有杜普伊特伦挛缩症，因右手小指中度屈曲挛缩接受了经皮针状筋膜切开术（PNF）。18个月后，他在先前针刺部位的远端出现了无痛性软组织肿胀。筋膜切除术发现腱前索内有一个囊肿，经组织学分析证实为皮样包涵囊肿。皮样包涵囊肿可能发生于手部穿透性创伤部位，但我们未发现任何关于PNF手术部位出现包涵囊肿的报告。我们将经皮针状筋膜切开术后出现皮样包涵囊肿这一独特病例作为一种新的并发症进行展示。
