Kerrigan J J, Bertoni J M, Jaeger S H
Department of Neurology, Jefferson Medical College, Philadelphia, PA 19107.
J Hand Surg Am. 1988 Sep;13(5):763-5. doi: 10.1016/s0363-5023(88)80144-8.
We review 12 cases of ganglion cyst with carpal tunnel syndrome in 11 patients seen at the Hand Rehabilitation Center. Mean age was 42 years (range, 28 to 60 years). One half of the cysts were associated with direct trauma, usually with wrist hyperextension. Symptoms usually developed after the appearance or sudden growth of the cyst. Motor conduction or distal sensory latency was abnormal in seven of eight studied cases. Tinel's sign on tapping the cyst may be pathognomonic for this syndrome. Cyst removal and incision of the flexor retinaculum relieved the symptoms in 11 cases. The other case had total resolution after spontaneous cyst rupture. This syndrome is successfully treated with cyst decompression with release of the carpal canal and has an excellent prognosis. To our knowledge this represents the largest operative series of carpal tunnel syndrome and ganglion cyst.
我们回顾了在手部康复中心就诊的11例患者中的12例腱鞘囊肿合并腕管综合征病例。平均年龄为42岁（范围为28至60岁）。一半的囊肿与直接创伤有关，通常是手腕过度伸展。症状通常在囊肿出现或突然增大后出现。在8例研究病例中，有7例运动传导或远端感觉潜伏期异常。轻敲囊肿时的Tinel征可能是该综合征的特征性表现。囊肿切除和屈肌支持带切开术使11例患者症状缓解。另一例在囊肿自发破裂后完全恢复。该综合征通过腕管减压和腕管松解术成功治疗，预后良好。据我们所知，这是腕管综合征和腱鞘囊肿最大的手术系列报道。
