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起源于背侧关节囊的非典型掌侧腕部腱鞘囊肿:一例报告及诊断与治疗见解

Atypical Volar Wrist Ganglion Originating From the Dorsal Joint Capsule: A Case Report With Diagnostic and Management Insights.

作者信息

Alradwan Hussain A, Alghamdi Muath S

机构信息

Orthopedics Surgery, Almoosa Specialist Hospital, Al-Ahsa, SAU.

出版信息

Cureus. 2025 Jun 16;17(6):e86132. doi: 10.7759/cureus.86132. eCollection 2025 Jun.

DOI:10.7759/cureus.86132
PMID:40671985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12265977/
Abstract

Wrist ganglion cysts are common benign lesions typically originating dorsally or volarly. While they typically present dorsally, volar ganglia originating from the dorsal aspect are exceptionally rare. Hence, this paper reports the case of a 26-year-old female with a volar wrist ganglion. Intraoperatively, it was found to originate dorsally. This case highlights the importance of meticulous surgical exploration to identify the true origin of ganglion cysts.

摘要

腕部腱鞘囊肿是常见的良性病变,通常起源于背侧或掌侧。虽然它们通常出现在背侧,但起源于背侧的掌侧腱鞘囊肿极为罕见。因此,本文报告了一例26岁患有掌侧腕部腱鞘囊肿的女性病例。术中发现它起源于背侧。该病例强调了细致的手术探查以确定腱鞘囊肿真正起源的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/da33f6c8215b/cureus-0017-00000086132-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/1550e6b0dbaa/cureus-0017-00000086132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/c4f0860cb8e1/cureus-0017-00000086132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/ca0d7e222e0f/cureus-0017-00000086132-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/da33f6c8215b/cureus-0017-00000086132-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/1550e6b0dbaa/cureus-0017-00000086132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/c4f0860cb8e1/cureus-0017-00000086132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/ca0d7e222e0f/cureus-0017-00000086132-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5f0/12265977/da33f6c8215b/cureus-0017-00000086132-i04.jpg

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本文引用的文献

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Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI.背侧腕部神经节:基于高场 MRI 的症状性人群的临床与影像相关性。
Eur Radiol. 2024 Dec;34(12):7856-7863. doi: 10.1007/s00330-024-10831-3. Epub 2024 Jun 10.
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Volar Wrist Ganglion Originating at the Dorsal Scapholunate Ligament - A Report of Two Patients.起源于背侧舟月韧带的舟月背侧腱鞘囊肿:两例报告。
J Hand Surg Asian Pac Vol. 2022 Feb;27(1):200-203. doi: 10.1142/S2424835522720067. Epub 2022 Feb 17.
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掌侧腱鞘囊肿及关节镜下切除的超声引导辅助治疗
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Patient-Related Outcomes of Arthroscopic Resection of Ganglion Cysts of the Wrist.腕关节腱鞘囊肿关节镜下切除术的患者相关结局
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Treatment of ganglion cysts.腱鞘囊肿的治疗。
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Ulnar Nerve Compression in Guyon's Canal by Ganglion Cyst.腕部腱鞘囊肿致尺神经在Guyon管内受压
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Curr Rev Musculoskelet Med. 2008 Dec;1(3-4):205-11. doi: 10.1007/s12178-008-9033-4. Epub 2008 Aug 26.
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Compression neuropathy of the radial nerve due to ganglion cysts.腱鞘囊肿导致的桡神经压迫性神经病
Hand (N Y). 2008 Jun;3(2):152-4. doi: 10.1007/s11552-007-9083-x. Epub 2008 Jan 25.
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Sonography of wrist ganglion cysts: variable and noncystic appearances.腕部腱鞘囊肿的超声检查:表现多样且非囊性
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Ganglions of the hand and wrist.手部和腕部腱鞘囊肿
J Am Acad Orthop Surg. 1999 Jul-Aug;7(4):231-8. doi: 10.5435/00124635-199907000-00003.