Ramírez María Teresa, Molina Gustavo, Di Carlo Cinzia, Fernández Vicente, Von Unger Sebastian, Thumm Nicolás, Anwandter Philipp, Morgan Gonzalo
Residente Traumatología y Ortopedia, Universidad de los Andes, Santiago, Chile.
Licenciado en Medicina, Universidad de Los Andes, Santiago, Chile.
J Hand Surg Glob Online. 2024 Oct 5;6(6):911-914. doi: 10.1016/j.jhsg.2024.05.007. eCollection 2024 Nov.
Synovial ganglions, common soft tissue tumors of the hand and wrist, typically occur in the dorsal and volar aspects of the wrist, but intra-articular cases are rare. We present a case of a 27-year-old equestrian with persistent left wrist pain who was diagnosed with an intra-articular radiocarpal synovial ganglion after failed conservative management. Arthroscopic resection led to complete resolution of symptoms and functional recovery. This case highlights the diagnostic and therapeutic challenges posed by intra-articular synovial ganglions and underscores the efficacy of arthroscopic intervention in such cases. Although the literature on this specific presentation is scarce, our experience advocates for arthroscopic resection as an effective treatment strategy for intra-articular synovial ganglions refractory to conservative measures.
滑膜囊肿是手部和腕部常见的软组织肿瘤，通常发生在腕部的背侧和掌侧，但关节内病例罕见。我们报告一例27岁的马术运动员，其左腕持续疼痛，在保守治疗失败后被诊断为关节内桡腕关节滑膜囊肿。关节镜下切除导致症状完全缓解和功能恢复。该病例突出了关节内滑膜囊肿带来的诊断和治疗挑战，并强调了关节镜干预在此类病例中的疗效。尽管关于这种特定表现的文献很少，但我们的经验支持关节镜下切除作为保守措施难治的关节内滑膜囊肿的有效治疗策略。
