掌侧腱鞘囊肿及关节镜下切除的超声引导辅助治疗

Volar Ganglion Cyst and Echo-Guided Assistance for the Arthroscopic Removal.

机构信息

Orthopedic and Traumatologic, University Hospital Erasme, Brussels, Belgium; Hand and Wrist Center, HFSU, AO Foundation, Tournai, Belgium.

Department of Orthopaedic and Traumatologic Surgery, University Clinical Center, Polyclinic Val de Sambre, Maubeuge, France.

出版信息

Hand Clin. 2022 Feb;38(1):101-107. doi: 10.1016/j.hcl.2021.08.011.

DOI:10.1016/j.hcl.2021.08.011

PMID:34802602

Abstract

The ganglion of the wrist is very common but with uncertain prognosis. The arthroscopic resection seems to improve the result compared with open procedure, in decreasing recurrence and morbidity. Volar ganglions are close to the radial artery, the flexor pollicis longus tendon, and even the median nerve. Ultrasonography combined with arthroscopy offers incomparable safety for the resection of volar ganglions. The technical steps of this combined procedure are described, and the first published series are discussed.

摘要

腕部神经节非常常见，但预后不确定。与开放性手术相比，关节镜下切除似乎可以降低复发率和发病率，从而改善结果。掌侧神经节靠近桡动脉、拇长屈肌腱，甚至正中神经。超声检查与关节镜联合应用可为掌侧神经节切除术提供无与伦比的安全性。本文描述了这种联合手术的技术步骤，并讨论了首例发表的系列病例。