Clay N R, Clement D A
Department of Orthopaedic Surgery, University Hospital, Nottingham.
J Hand Surg Br. 1988 May;13(2):187-91. doi: 10.1016/0266-7681_88_90135-0.
The dorsal wrist ganglion is the commonest benign soft-tissue tumour of the hand. Its treatment has been the subject of discussion for centuries, many methods being accompanied by an unacceptably high recurrence rate. Surgical extirpation gives the most reliable results and success has been said to depend on the identification of an unvarying deep attachment of the ganglion to the scapholunate ligament. A previous study has suggested that if this is excised, there will be no recurrences and no residual symptoms. Our experience of 62 dorsal ganglia confirms that although a scapholunate origin is usual, ganglia may also arise from a variety of additional sites over the dorsal wrist capsule, particularly in the region of the capitate. Two ganglia have recurred and clinical review of 52 (84%) of the cases has shown that persistent discomfort following excision is not uncommon. One patient appears to have developed scapholunate instability.
腕背腱鞘囊肿是手部最常见的良性软组织肿瘤。几个世纪以来，其治疗一直是讨论的话题，许多方法的复发率高得令人难以接受。手术切除能取得最可靠的结果，据说成功取决于识别腱鞘囊肿与舟月韧带恒定的深部附着。先前的一项研究表明，如果切除此处，将不会复发且无残留症状。我们对62例腕背腱鞘囊肿的经验证实，尽管通常起源于舟月关节，但腱鞘囊肿也可能起源于腕背关节囊的其他多个部位，尤其是头状骨区域。有两例复发，对52例（84%）病例的临床复查表明，切除后持续不适并不少见。有一名患者似乎出现了舟月关节不稳定。
