頁籤選單縮合
題 名 | Treatment of Dorsal Wrist Ganglion by Synovectomy on the Scapholunate Ligament |
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作 者 | 陳劍龍; 張明超; 劉毅; 羅惠熙; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷 期 | 16:1 1999.03[民88.03] |
頁 次 | 頁13-16 |
分類號 | 416.61 |
關鍵詞 | Dorsal wrist ganglion; Scapholunate ligament; Synovectomy; |
語 文 | 英文(English) |
英文摘要 | The dorsal wrist ganglion is the most common tumor associated with the hand. Treatments of this malady have been proposed for centuries, with many of those methods having a high recurrent rate. Among those methods, surgical excision provides the most reliable results. Most dorsal ganglions originate from the scapholunate ligament. In addition, a pedicle or root connecting the main cyst to the scapholunate ligament can typically be found during surgery. For prevention of recurrence, surgical procedures for a dorsal wrist ganglion should include a radical excison of the root from the scapholunate ligament. However, a surgenon frequently spends most of the surgical procedure in removing the body of the cyst, but spares the root of the lesion. While emphasizing that excis-ing the root rather than the cyst itself is the most critical part of this procedure, this work presents a novel surgical technique that completely removes the root of the ganglion by synovectomy and partial capsulectomy around the scapholu-nate ligament but spares the main cyst. From July 1996 to June 1997, this method was applied to treat 36 dorsal wrist ganglions. Three patients were lost during follow-up and 33 patients were included in the study. At the final follow-up, four cases (12¢H) had mild limited motin of the wrist, while three (9¢H) had mild pain when actively using the hand. The remaining 28 patients (84¢H) were found to have satisfactory results without any discomfort. No recurrent cyst was noted during the two years of follow-up period. Although one patient had a sensation of retained mass in the wrist, no obvious mass was palpable in physical examination. Results in this study demonstrate that synovectomy and partial capsulectomy around the scapholunate ligament are critical to the proce-dure rather than excision of the syst itself. This novel technique also has a short surgical time and can be easily and effectively performed by a relatively inexpe-rienced surgeon. |
本系統中英文摘要資訊取自各篇刊載內容。