Geraghty Feargal J, Anderson Lisa, Mir Haaris, Daniali Lily, Imbriglia Joseph E, Pulikkottil Benson J
Kendall General Surgery Residency, National University of Ireland Galway, Galway, Ireland.
Texas A&M Health Science Center College of Medicine, Texas Tech, Lubbock, Texas.
J Wrist Surg. 2021 Oct;10(5):436-439. doi: 10.1055/s-0040-1722572. Epub 2021 Feb 3.
The most common soft tissue tumor of the hand is the dorsal ganglion cyst and often is an indication for surgical excision. The differential diagnoses for dorsal hand masses include but are not limited to tenosynovitis, epidermoid cyst, abscess, lipoma, xanthoma, rheumatoid nodule, tophus, carpal boss, myositis ossificans, foreign body granuloma, neoplasm, and anomalous muscles. Our case report reflects the latter, a 33-year-old female who presented with a 3-year history of a symptomatic dorsal ganglion cyst of her left wrist. She is a female in her 30s, with progressive, worsening pain on wrist extension. Intraoperatively, it was determined that an anomalous extensor digitorum brevis manus (EDBM) was present and may have contributed to her pain and was excised. The literature is sparse with the surgical management of EDBM. This case study aims to explore algorithms for managing simultaneous EDBM with a dorsal wrist ganglion, which is clinically relevant for any hand surgeon, when faced with a similar intra-operative management situation.
手部最常见的软组织肿瘤是背侧腱鞘囊肿，通常是手术切除的指征。手背肿块的鉴别诊断包括但不限于腱鞘炎、表皮样囊肿、脓肿、脂肪瘤、黄色瘤、类风湿结节、痛风石、腕部隆突、骨化性肌炎、异物肉芽肿、肿瘤和异常肌肉。 我们的病例报告反映了后者，一名33岁女性，有3年左腕背侧腱鞘囊肿伴症状的病史。她是一名30多岁的女性，手腕伸展时疼痛逐渐加重。术中确定存在异常的指短伸肌（EDBM），可能是导致她疼痛的原因，并将其切除。 关于EDBM手术治疗的文献很少。本病例研究旨在探索同时处理EDBM和腕背腱鞘囊肿的算法，这对于任何手外科医生在面对类似的术中处理情况时都具有临床相关性。
