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第一掌腕关节关节炎行大多角骨切除术后，腱鞘囊肿形成继发拇长伸肌腱弹响

Snapping Extensor Pollicis Longus Tendon Secondary to Ganglion Cyst Formation After Trapeziectomy for First Carpometacarpal Arthritis.

作者信息

Chung Marvin M T

机构信息

From the Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, Hong Kong SAR.

出版信息

Plast Reconstr Surg Glob Open. 2025 Jul 18;13(7):e6964. doi: 10.1097/GOX.0000000000006964. eCollection 2025 Jul.

DOI:10.1097/GOX.0000000000006964
PMID:40686758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12273667/
Abstract

There is a wide variety of surgical techniques for first carpometacarpal arthritis described in the literature, but a wide range of complications has also been reported after these operations. We report a case of ganglion cyst formation causing snapping extensor pollicis longus tendon in a patient 3 months after trapeziectomy, ligament reconstruction, and tendon interposition for first carpometacarpal arthritis, which was successfully treated with simple cyst excision under wide-awake local anesthesia without a tourniquet. Adequate clearance of osteophytes and loose bodies, particularly around metacarpal bases, is required to avoid this complication.

摘要

文献中描述了多种用于治疗第一掌腕关节关节炎的手术技术，但这些手术后也报道了一系列并发症。我们报告了一例在第一掌腕关节关节炎行大多角骨切除术、韧带重建和肌腱植入术后3个月，腱鞘囊肿形成导致拇长伸肌腱弹响的病例，该病例在无止血带的清醒局部麻醉下通过简单的囊肿切除术成功治疗。为避免这种并发症，需要充分清除骨赘和游离体，特别是在掌骨基部周围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8c/12273667/be0e4be59fc7/gox-13-e6964-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8c/12273667/775769b4562e/gox-13-e6964-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8c/12273667/394e775a1aa2/gox-13-e6964-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8c/12273667/be0e4be59fc7/gox-13-e6964-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8c/12273667/775769b4562e/gox-13-e6964-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8c/12273667/394e775a1aa2/gox-13-e6964-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8c/12273667/be0e4be59fc7/gox-13-e6964-g003.jpg

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本文引用的文献

1
A Meta-analysis of Surgical Interventions for Base of Thumb Arthritis.拇指基底关节炎手术干预的荟萃分析
J Wrist Surg. 2022 Feb 23;11(6):550-560. doi: 10.1055/s-0042-1743117. eCollection 2022 Dec.
2
Surgery for Trapeziometacarpal Joint Osteoarthritis: A Meta-Analysis on Efficacy and Safety.掌指关节骨关节炎的手术治疗：疗效和安全性的Meta 分析。
J Hand Surg Asian Pac Vol. 2021 Jun;26(2):245-264. doi: 10.1142/S2424835521500260.
3
Snapping Extensor Pollicis Longus Tendon Subluxation Secondary to Trapeziometacarpal Instability: Case Report and Technique.
拇长展肌腱易位继发于腕掌关节不稳定：病例报告和技术。
JBJS Case Connect. 2021 Mar 25;11(1):01709767-202103000-00062. doi: e20.00478.
4
Failed Thumb Carpometacarpal Arthroplasty: Common Etiologies and Surgical Options for Revision.拇指腕掌关节置换失败：常见病因及翻修手术选择
J Hand Surg Am. 2018 Sep;43(9):844-852. doi: 10.1016/j.jhsa.2018.03.052. Epub 2018 Jun 20.
5
Extensor Pollicis Longus Rupture after Mini TightRope Suspensionplasty.微型张力带悬吊成形术后拇长伸肌断裂
J Wrist Surg. 2016 May;5(2):143-6. doi: 10.1055/s-0035-1570397. Epub 2016 Jan 6.
6
Degenerative change at the pseudarthrosis after trapeziectomy at 6-year followup.术后 6 年随访时假关节处的退行性改变。
Clin Orthop Relat Res. 2014 Apr;472(4):1160-5. doi: 10.1007/s11999-013-2956-0.
7
Trapeziectomy and intermetacarpal ligament reconstruction with the extensor carpi radialis longus for osteoarthritis of the trapeziometacarpal joint: surgical technique and long-term results.采用桡侧腕长伸肌进行大多角骨切除术及掌骨间韧带重建治疗第一腕掌关节骨关节炎：手术技术与长期疗效
J Hand Surg Am. 2006 Oct;31(8):1315-21. doi: 10.1016/j.jhsa.2006.07.002.