Pien Irene J, Mudgal Chaitanya S
Massachusetts General Hospital, Department of Orthopedic Surgery, Hand and Arm Center, 55 Fruit Street Yawkey 3, Boston, MA, 02114, USA.
J Hand Microsurg. 2024 Mar 29;16(4):100071. doi: 10.1016/j.jham.2024.100071. eCollection 2024 Oct.
Digital mucous cysts are benign synovial fluid collections that typically involve the lateral or dorsal surfaces of the distal interphalangeal joints (DIPJs) or beneath the proximal nail fold. They are typically found in the setting of arthritic degeneration of the underlying joint and occur most frequently between the fifth and seventh decades. Many treatment options for digital mucous cysts have been described, ranging from conservative/minimally invasive to complete surgical excision, with no consensus on best technique. Here, a surgical approach is presented which allows access to address the cyst pedicle as well as any underlying osteophyte while preserving the overlying skin with good outcomes even with compromised or involved dermis and epidermis. This is a reproducible, readily adaptable technique. The surgical technique is presented and reviewed in detail.
指黏液囊肿是良性滑液聚集，通常累及远侧指间关节（DIPJ）的外侧或背侧表面，或近端甲襞下方。它们通常出现在潜在关节的关节炎性退变背景下，最常发生在50至70岁之间。已经描述了许多针对指黏液囊肿的治疗选择，从保守/微创到完全手术切除，对于最佳技术尚无共识。在此，介绍一种手术方法，该方法能够在保留覆盖皮肤的情况下处理囊肿蒂以及任何潜在的骨赘，即使在真皮和表皮受损或受累的情况下也能取得良好效果。这是一种可重复、易于应用的技术。将详细介绍并回顾该手术技术。
