Passler J M, Hofer H P, Peicha G, Wildburger R
University Clinic for Surgery, Department of Traumatology, Graz, Austria.
J Bone Joint Surg Br. 1993 Mar;75(2):303-4. doi: 10.1302/0301-620X.75B2.8444954.
In a series of 1160 arthroscopies we found 16 meniscal cysts; 12 involved the lateral joint line and two the medial, and two were intra-articular. In all but two cases, arthroscopy showed meniscal tears. We recommend arthroscopy of all cases to correct the meniscal lesion, and to evacuate the cyst into the joint by opening the joint capsule. This was successful in 12 cases, with no recurrence after an average follow-up of 18 months. Only two patients with no meniscal lesion on arthroscopy required an additional external incision for cyst removal.
在1160例关节镜检查中,我们发现了16例半月板囊肿;其中12例位于外侧关节线,2例位于内侧,2例为关节内囊肿。除2例病例外,关节镜检查均显示有半月板撕裂。我们建议对所有病例进行关节镜检查,以修复半月板损伤,并通过打开关节囊将囊肿引流至关节内。12例患者手术成功,平均随访18个月后无复发。只有2例关节镜检查未发现半月板损伤的患者需要额外进行外部切口以切除囊肿。