Kliman M E, Freiberg A
Foot Ankle. 1982 Jul-Aug;3(1):45-6. doi: 10.1177/107110078200300110.
This report documents the treatment of 33 foot and ankle ganglia. The average patient age was 39 years (versus 25 years for patients with ganglia about the wrist joint). Twenty-one ganglia were treated operatively and nine recurred. Three patients suffered cutaneous nerve injury. The other 12 ganglia were treated by aspiration and steroid injection. There were four recurrences, one of which was cured by a second injection. Two of the four recurrences were small and asymptomatic and required no treatment. There were no complications with aspiration and injection. In view of the high recurrence rates and inconvenience of ganglionectomy in the foot, aspiration and steroid injection is a more safe, simple, and effective treatment. We feel that surgery should generally be reserved for failures of nonoperative treatment.
本报告记录了33例足踝部腱鞘囊肿的治疗情况。患者平均年龄为39岁（而腕关节腱鞘囊肿患者的平均年龄为25岁）。21例腱鞘囊肿接受了手术治疗，其中9例复发。3例患者发生皮神经损伤。另外12例腱鞘囊肿采用穿刺抽吸加类固醇注射治疗。有4例复发，其中1例经第二次注射治愈。4例复发中有2例较小且无症状，无需治疗。穿刺抽吸加注射治疗无并发症发生。鉴于足部腱鞘囊肿切除术的高复发率和不便之处，穿刺抽吸加类固醇注射是一种更安全、简单且有效的治疗方法。我们认为手术一般应保留用于非手术治疗失败的情况。
