Pritzker School Medicine, University of Chicago, Chicago, IL.
Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL.
J Hand Surg Am. 2022 Jun;47(6):554-560. doi: 10.1016/j.jhsa.2021.12.015. Epub 2022 Feb 22.
The etiology, epidemiology, and treatment outcomes of ganglions in children have not been studied in depth. Most research has mainly focused on adults with this condition, with some research suggesting differing epidemiology and outcomes in the pediatric population. This review focuses on the existing literature on pediatric ganglions of the hand and wrist, highlighting 17 studies focused on prevalence and treatment outcomes. Within the pediatric population, epidemiology and outcomes differ depending on patient age. In children aged <10 years, cysts present on the volar aspect of the wrist and are generally amenable to observation, with spontaneous regression. For patients aged >10 years, ganglions resemble those in the adult population and present on the dorsal aspect of the wrist. Open surgical excision demonstrates a relatively low recurrence rate with minimal complications and is currently recommended for treatment.
儿童腱鞘囊肿的病因、流行病学和治疗结果尚未得到深入研究。大多数研究主要集中在患有这种疾病的成年人身上，一些研究表明，在儿科人群中，这种疾病的流行病学和结果存在差异。本综述重点介绍了手部和腕部小儿腱鞘囊肿的现有文献，突出了 17 项关于患病率和治疗结果的研究。在儿科人群中，流行病学和结果因患者年龄而异。在<10 岁的儿童中，囊肿位于手腕的掌侧，通常可以通过观察和自发消退来治疗。对于年龄>10 岁的患者，腱鞘囊肿类似于成人人群中的腱鞘囊肿，位于手腕的背侧。开放性手术切除显示出相对较低的复发率和最小的并发症，目前被推荐用于治疗。
