Crawford G P, Taleisnik J
J Hand Surg Am. 1983 Nov;8(6):921-5. doi: 10.1016/s0363-5023(83)80096-3.
Surgical excision of a ganglion on the dorsum of the wrist is usually a benign procedure. The most frequent complications are transient postoperative stiffness and recurrence of the ganglion. This paper reports the development of a rotatory subluxation of the scaphoid after the manipulation of the wrist of a patient who had developed postoperative stiffness after the surgical excision of a dorsal wrist ganglion. This unusual complication was successfully treated by closed pinning under radiographic control followed by immobilization in palmar flexion. Manipulation of the wrist for the management of postoperative stiffness is rarely, if ever, indicated. Limitation of motion of a wrist without underlying structural changes is best managed by gentle, gradual splinting, both static and dynamic. It is suggested that preoperative x-rays should be obtained as part of the routine workup for a dorsal wrist ganglion.
腕背腱鞘囊肿的手术切除通常是一种良性手术。最常见的并发症是术后短暂性僵硬和腱鞘囊肿复发。本文报告了一名患者在腕背腱鞘囊肿手术切除后出现术后僵硬，经手法操作后发生舟骨旋转半脱位的情况。这种不寻常的并发症通过在影像学控制下闭合穿针，随后固定于掌屈位成功得到治疗。很少（如果有的话）需要通过手法操作来处理术后僵硬。对于没有潜在结构改变的腕关节活动受限，最好通过轻柔、逐步的静态和动态夹板固定来处理。建议术前拍摄X线片作为腕背腱鞘囊肿常规检查的一部分。
