Rozbruch S R, Chang V, Bohne W H, Deland J T
Department of Orthopedic Surgery, the Hospital for Special Surgery, New York, NY, USA.
Orthopedics. 1998 Feb;21(2):141-8. doi: 10.3928/0147-7447-19980201-07.
This article reviews 54 consecutive patients with lower extremity ganglion cysts that were surgically removed and histologically confirmed at the Hospital for Special Surgery from 1981 to 1993. Lower extremity ganglia were more common among women. Patients' ages ranged from 13 to 80 years, with the fifth and sixth decades being the most common. Size of the cysts ranged from 3 cm to 10 cm (average: 2.9 cm). Thirty-six (67%) patients had ganglion cysts of the foot and ankle, and 18 (33%) patients had ganglion cysts of the knee area. Four (7%) patients had intraosseous ganglia located in the proximal tibia, patella, and the first metatarsal head. Follow-up data of 40 (74%) patients at an average of 5.9 years (range: 1 to 12.5 years) were obtained. Satisfaction was reported by 83% of patients. Recurrence was seen in 10% of patients, and a report of no or mild pain was given by 86% of the group. Patients who underwent revision ganglion excision had inferior results. Only 25% reported satisfaction and 50% reported no or mild pain. Patients who underwent curettage of an intraosseous ganglion appeared to have superior results. All patients reported satisfaction and no or mild pain. The performance of a concomitant surgical procedure, the anatomic region of the ganglion, or type of postoperative immobilization did not appear to affect the outcome.
本文回顾了1981年至1993年在特种外科医院接受手术切除并经组织学证实的54例连续下肢腱鞘囊肿患者。下肢腱鞘囊肿在女性中更为常见。患者年龄范围为13至80岁，最常见于第五和第六个十年。囊肿大小从3厘米到10厘米不等（平均：2.9厘米）。36例（67%）患者患有足踝部腱鞘囊肿，18例（33%）患者患有膝部腱鞘囊肿。4例（7%）患者的骨内腱鞘囊肿位于胫骨近端、髌骨和第一跖骨头。获得了40例（74%）患者的随访数据，平均随访时间为5.9年（范围：1至12.5年）。83%的患者表示满意。10%的患者出现复发，该组86%的患者报告无疼痛或轻度疼痛。接受腱鞘囊肿翻修手术的患者结果较差。只有25%的患者表示满意，50%的患者报告无疼痛或轻度疼痛。接受骨内腱鞘囊肿刮除术的患者似乎结果较好。所有患者均表示满意，且无疼痛或轻度疼痛。同时进行的手术操作、腱鞘囊肿的解剖区域或术后固定类型似乎均不影响结果。
