Lanz U, Romen W
Handchirurgie. 1980;12(1-2):27-30.
In 10 patients with severe pain localised over the dorsal aspect of the lunate, the capsule of the wrist joint was exposed and fenestrated over the scapho-lunate ligament. In two cases flat ganglion cysts were found, too small to be palpated before surgery. In the other 8 cases without macroscopically visible changes, histologically, areas of mucoid degeneration and very small ganglion cysts could be seen in the capsule. All patients were pain free after surgery. It is concluded that very small intracapsular cysts in the area of the dorsal scapho-lunate ligament, the most common origin of ganglia, may irritate the posterior interosseus nerve which is located in this area.
在10例月骨背侧局部剧痛的患者中，暴露腕关节囊并在舟月韧带上方开窗。2例发现扁平腱鞘囊肿，术前太小无法触及。另外8例在肉眼下未见明显变化，组织学检查发现关节囊内有黏液样变性区域和非常小的腱鞘囊肿。所有患者术后均无痛。结论是，腱鞘囊肿最常见的起源部位——舟月背侧韧带区域内非常小的囊内囊肿，可能会刺激位于该区域的骨间后神经。
