Eiken O, Jonsson K
Scand J Plast Reconstr Surg. 1980;14(3):285-90. doi: 10.3109/02844318009106723.
In order to analyse and correlate the clinical and radiographic features of intracarpal bone cysts a review of 80 cysts in 77 patients is presented. Some cysts were found to develop very slowly from an area of trabecular fading to a well-defined cavity, bordered by a zone of radiopacity. Pain was constantly correlated to cysts with marginal sclerosis and at operation these cysts were found to be made up of fibrous tissue with mucoid changes. Most cysts were located in the scaphoid and lunate which are known to have vulnerable vascular supplies. These bones are also exposed to heavy load during power grip. It is, therefore, plausible that these cysts are caused by intramedullary vascular disturbances, followed by bone resorption and fibroblastic proliferation, and that pain is elicited by increasing pressure inside the cyst.
为了分析腕骨囊肿的临床和影像学特征并进行相关性研究，本文回顾了77例患者的80个囊肿。发现一些囊肿从骨小梁模糊区域发展为边界清晰的透亮腔，发展过程非常缓慢，边界有致密影带。疼痛总是与伴有边缘硬化的囊肿相关，手术时发现这些囊肿由伴有黏液样变的纤维组织构成。大多数囊肿位于舟骨和月骨，已知这两块骨头的血供较差。在强力抓握时，这些骨头也承受着较大负荷。因此，这些囊肿可能是由髓内血管紊乱引起，继而导致骨质吸收和成纤维细胞增殖，囊肿内压力增加引发疼痛，这一推测是合理的。
