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足部腱鞘囊肿导致第二和第三跖骨应力反应及骨折：一例报告

Ganglion Cyst of the Foot Causing Second and Third Metatarsal Stress Reactions and Fractures: A Case Report.

作者信息

Shimozono Yoshiharu, Mizuno Yasuyuki, Funakoshi Noboru, Kobayashi Masahiko, Matsuda Shuichi, Yamashita Fumiharu

机构信息

Orthopaedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, JPN.

Orthopaedic Surgery, Kyoto Shimogamo Hospital, Kyoto, JPN.

出版信息

Cureus. 2024 Jul 25;16(7):e65387. doi: 10.7759/cureus.65387. eCollection 2024 Jul.

DOI:10.7759/cureus.65387
PMID:39184694
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344698/
Abstract

Ganglion cysts arising from the plantar aspect are rare, and the most common location of the foot and ankle is the dorsal aspect of the foot. We present a case of a 49-year-old man with pain in the right foot. Plain radiographs showed thinning of the cortical bone in the right second and third metatarsals, and MRI showed cystic lesions between the second and third metatarsals, resulting in stress reactions and fractures. The fracture gradually remodeled and completely healed following resection of the ganglion cysts. If plain radiographs show atypical changes in the metatarsal bone morphology, a ganglion cyst, as in this case, should be suspected, and MRI should be considered.

摘要

起源于足底的腱鞘囊肿很少见，足踝部最常见的部位是足背。我们报告一例49岁男性右脚疼痛的病例。X线平片显示右第二和第三跖骨皮质骨变薄，磁共振成像（MRI）显示第二和第三跖骨之间有囊性病变，导致应力反应和骨折。切除腱鞘囊肿后，骨折逐渐重塑并完全愈合。如果X线平片显示跖骨形态有非典型变化，就像本病例一样，应怀疑腱鞘囊肿，并应考虑进行MRI检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/51f52f0b2166/cureus-0016-00000065387-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/da85028eda0d/cureus-0016-00000065387-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/ea7bbc0cebbb/cureus-0016-00000065387-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/090608de980e/cureus-0016-00000065387-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/009756551907/cureus-0016-00000065387-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/dbe45f1db325/cureus-0016-00000065387-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/77c19658e1c6/cureus-0016-00000065387-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/51f52f0b2166/cureus-0016-00000065387-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/da85028eda0d/cureus-0016-00000065387-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/ea7bbc0cebbb/cureus-0016-00000065387-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/090608de980e/cureus-0016-00000065387-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/009756551907/cureus-0016-00000065387-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/dbe45f1db325/cureus-0016-00000065387-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/77c19658e1c6/cureus-0016-00000065387-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/393f/11344698/51f52f0b2166/cureus-0016-00000065387-i07.jpg

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本文引用的文献

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Metatarsal Periosteal Plantar Ganglion Cyst Associated With Stress Fracture: A Case Report.与应力性骨折相关的跖骨骨膜足底腱鞘囊肿：一例报告
J Foot Ankle Surg. 2017 Nov-Dec;56(6):1328-1331. doi: 10.1053/j.jfas.2017.06.003. Epub 2017 Jul 29.
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Ganglion cysts of the wrist: pathophysiology, clinical picture, and management.手腕腱鞘囊肿：病理生理学、临床表现和治疗。
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