Magee T H, Rowedder A M, Degnan G G
Department of Radiology, Menorah Medical Center, Kansas City, MO 64110, USA.
Radiology. 1995 May;195(2):517-20. doi: 10.1148/radiology.195.2.7724776.
To determine the prevalence of intraosseous ganglion cysts in patients with unexplained wrist pain and evaluate the radiographic methods used for their detection.
Four hundred patients with unexplained wrist pain were prospectively examined. All patients underwent standard three-view radiography of the wrist. Patients with cystic areas on conventional radiographs underwent further examination with bone scanning. Ultimately, 17 patients whose bone scans demonstrated increased radiotracer uptake that localized to a particular carpal bone underwent magnetic resonance (MR) imaging.
Of these 17 patients, intraosseous ganglion cysts were diagnosed in 15. Some of these ganglia were occult on conventional radiographs and were detected only at bone scanning and MR imaging.
Intraosseous ganglion cysts in the wrist are more common than previously reported. In some patients, bone scanning, conventional radiography, and/or MR imaging will aid surgical resection that could provide symptomatic relief of unexplained wrist pain.
确定不明原因腕部疼痛患者骨内腱鞘囊肿的患病率，并评估用于检测该病的放射学方法。
对400例不明原因腕部疼痛的患者进行前瞻性检查。所有患者均接受腕部标准的三视角X线摄影。常规X线片上有囊性区域的患者进一步接受骨扫描检查。最终，17例骨扫描显示放射性示踪剂摄取增加且局限于特定腕骨的患者接受了磁共振（MR）成像检查。
在这17例患者中，15例被诊断为骨内腱鞘囊肿。其中一些腱鞘囊肿在常规X线片上隐匿，仅在骨扫描和MR成像时被发现。
腕部骨内腱鞘囊肿比先前报道的更为常见。在一些患者中，骨扫描、常规X线摄影和/或MR成像将有助于手术切除，从而缓解不明原因腕部疼痛的症状。
