Osterman A L, Raphael J
Philadelphia Hand Center, Pennsylvania, USA.
Hand Clin. 1995 Feb;11(1):7-12.
In summary, arthroscopic resection is a reasonable approach for operative treatment of the dorsal ganglion. Arthroscopy is safe and addresses the key anatomic pathology. Recurrences to date have been equal to or less than with the open technique. Arthroscopic resection minimizes the surgical scar. Arthroscopy also permits evaluation of any intra-articular pathologic condition of either midcarpal or radiocarpal joints. In our series, 42% of patients had intra-articular pathologic conditions. In this study, these findings were recorded but not treated. Symptom resolution, therefore, correlated with ganglion resection and not with intra-articular pathologic conditions. We look forward to publishing our data in full at the completion of our study.
总之,关节镜下切除术是治疗背侧腱鞘囊肿的一种合理的手术方法。关节镜手术安全,可解决关键的解剖病理学问题。迄今为止,复发率与开放手术相当或更低。关节镜下切除术可使手术瘢痕最小化。关节镜检查还可评估腕中关节或桡腕关节的任何关节内病理状况。在我们的系列研究中,42%的患者存在关节内病理状况。在本研究中,记录了这些发现但未进行治疗。因此,症状缓解与腱鞘囊肿切除相关,而非与关节内病理状况相关。我们期待在研究完成后全面发表我们的数据。