Seidman G D, Margles S W
Section and Hand Surgery, Lahey Clinic Medical Center, Burlington, Mass 01805.
J Hand Surg Am. 1993 Jul;18(4):707-10. doi: 10.1016/0363-5023(93)90323-U.
We report a series of seven patients with 10 intratendinous ganglia that were treated operatively. One ganglion was in the abductor pollicis longus tendon. The rest were in tendons of the fourth extensor compartment, and all of them were associated with tenosynovitis. The average age of the patients at operation was 55 years. One patient was treated by resection of the tendon with tendon transfer. The other patients were treated by excision of the ganglion with repair of the tendon or tenosynovectomy. The mean length of postoperative follow-up time was 6 years. One patient experienced a recurrence. Three of the six patients with preoperative dorsal tenosynovitis had tenosynovitis postoperatively. We speculate that the ganglia arose secondary to tenosynovitis. When an intratendinous ganglion is diagnosed, tenosynovectomy is recommended, with resection of the intratendinous ganglion and longitudinal tendon repair when needed.
我们报告了一组7例共10个经手术治疗的肌腱内腱鞘囊肿患者。1个腱鞘囊肿位于拇长展肌腱内。其余腱鞘囊肿位于第四伸肌间隙的肌腱内，且均伴有腱鞘炎。患者手术时的平均年龄为55岁。1例患者接受了肌腱切除并肌腱转移治疗。其他患者接受了腱鞘囊肿切除并肌腱修复或腱鞘切除术。术后平均随访时间为6年。1例患者复发。6例术前患有背侧腱鞘炎的患者中有3例术后仍患有腱鞘炎。我们推测腱鞘囊肿继发于腱鞘炎。当诊断为肌腱内腱鞘囊肿时，建议行腱鞘切除术，必要时切除肌腱内腱鞘囊肿并进行纵向肌腱修复。
