踝关节源性母趾腱鞘囊肿（附4例报告）

doi:10.13418/j.issn.1001-165x.2024.3.16

中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (3): 336-340.doi: 10.13418/j.issn.1001-165x.2024.3.16

踝关节源性母趾腱鞘囊肿（附4例报告）

邢耀文¹，陆志方²*，范春海¹，王占平¹，苏锴¹，陈玉文²

1. 河南大学附属商丘市立医院创伤显微手足外科，河南商丘 476400； 2. 广州华商学院健康医学院，广州 511300

收稿日期:2023-08-15 出版日期:2024-05-25 发布日期:2024-06-28
作者简介:邢耀文（1988-），河南省商丘人，主治医师，从事手足外科临床工作，E-mail：649373915@qq.com
基金资助:
国家自然科学基金面上项目（71773002）

Ankle-derived hallux tendon sheath cysts

Xing Yaowen¹, Lu Zhifang²*, Fan Chunhai¹, Wang Zhanping¹, Su Kai¹, Chen Yuwen²

1. Department of Hand and Foot Surgery, Shangqiu Municipal Hospital, Shangqiu 476400, China; 2. School of Health Medicine, Guangzhou Huashang University, Guangzhou 511300, China

Received:2023-08-15 Online:2024-05-25 Published:2024-06-28

摘要/Abstract

摘要： 目的　通过4例踝关节源性母趾腱鞘囊肿病例的临床和解剖发现，结合相关文献探讨踝关节源性母趾腱鞘囊肿的发病机制、临床特点、治疗方法等。方法　根据临床症状、体征、影像学检查、术中造影等，证实4例均为踝关节源性母趾腱鞘囊肿；均采用母趾腱鞘囊肿切除+踝关节囊修补术。结合相关文献进行分析总结。结果　本组3例患者术后愈合良好，如期拆线及功能锻炼，1例患者出现足底切口感染，积极换药14 d后愈合；术后随访3~13（平均7.5）个月，随访至发稿均未复发，通过AOFAS及VAS评分提示结果优良。结论　通过本组4例及其他文献18例病例总结分析，提出的踝关节源性母趾腱鞘囊肿的发病机制假说，能较好地解释该疾病的临床特征。术前、术中明确诊断，是选择手术方案的关键依据。

关键词: 母趾, 　腱鞘囊肿, 　踝关节, 　发病机制

Abstract: Objective 　To investigate the etiology, clinical characteristics, and therapeutic approaches of ankle-derived hallux tendon sheath cysts based on the clinical and anatomical findings from four cases of ankle-derived hallux tendon sheath cysts, in conjunction with a review of relevant literature.　Methods　The diagnosis of ankle-derived hallux tendon sheath cysts in all four cases was confirmed through clinical symptoms, physical signs, imaging studies, and intraoperative angiography. The treatment involved the excision of the hallux tendon sheath cysts combined with ankle joint capsule repair. Analysis and summary were conducted in light of the related literature.　Results　In this study, three patients experienced favorable healing, timely suture removal, and functional exercises post-surgery. One patient encountered the infection at the plantar incision site, which resolved after 14 days of diligent wound care. Follow-up periods ranged from 3 to 13 months (average 7.5 months), with no recurrences up to the time of manuscript submission. The outcomes, as indicated by AOFAS and VAS scores, were excellent.　Conclusions　The hypothesis proposed regarding the etiology of ankle-derived hallux tendon sheath cysts, based on the analysis of four cases from this study and eighteen cases from other literature, provides a plausible explanation for the clinical features of this condition. Accurate diagnosis before and during surgery is crucial for selecting the appropriate surgical strategy.

Key words: Hallux, 　Tendon sheath cyst, 　Ankle joint, 　Etiology

中图分类号:

R658.3

邢耀文, 陆志方, 范春海, 王占平, 苏锴, 陈玉文. 踝关节源性母趾腱鞘囊肿（附4例报告）[J]. 中国临床解剖学杂志, 2024, 42(3): 336-340.

Xing Yaowen, Lu Zhifang, Fan Chunhai, Wang Zhanping, Su Kai, Chen Yuwen . Ankle-derived hallux tendon sheath cysts[J]. Chinese Journal of Clinical Anatomy, 2024, 42(3): 336-340.

参考文献

[1] Kim JY, Jung SA, Kang YK, et al. Extra-articular soft tissue ganglion cyst around the knee: focus on the associated findings[J]. Eur Radiol. 2004 14(1):106-111. DOI: 10.1007/s00330-003-1969-6.
[2] Lemont H, Sabo MA. Origin of foot ganglion[J]. J Am Podiatr Med Assoc. 2000 90(5):256-257. DOI: 10.7547/87507315-90-5-256.
[3] 王澍寰, 荣国威, 田伟, 等. 实用骨科学[M]. 北京: 人民卫生出版社, 2016: 85- 88．
[4] Weishaupt D, Schweitzer ME, Kahn M, et al. MRI of the foot and ankle: prevalence and distribution of occult and palpable ganglia[J]. J Magn Reson Imaging. 2001 14(4):464-471. DOI: 10.1002/jmri.1208.

[5] 周云烽,徐达政, 陈仲,等. 踝关节外侧韧带的形态学分型及临床意义[J]. 中国临床解剖学杂志,2021,39(2):121-125.DOI:10.13418/j.issn.1001-165x.2021.02.001.

[6] 张树, 孙超, 王智, 等. 踝关节源性母趾腱鞘囊肿的手术疗效分析[J]. 中华骨与关节外科杂志, 2019, 12(5): 367- 370.
[7] 万东东, 袁伟健, 胡茂忠, 等. 后路踝关节镜联合肌腱镜对踝关节源性母长屈肌腱囊肿的近期疗效[J]. 中华医学杂志, 2023, 103(11): 829- 834. DOI:10.3760/cma.j.cn112137-20220813-01736.
[8] Pontious J, Good J, Maxian SH. Ganglions of the foot and ankle. A retrospective analysis of 63 procedures. J Am Podiatr Med Assoc. 1999;89(4):163-168. DOI: 10.7547/87507315-89-4-163. PMID: 10220985.
[9] 许锦, 邱雷雨, 王叶军, 等. 踝管腱鞘囊肿MRI评价[J]. 医学影像学杂志, 2023, 33(2): 313-317.
[10] 王正义, 张建中, 俞光荣, 等. 足踝外科学[M]. 北京: 人民卫生出版社, 2006: 3-15．
[11] 顾冬云, 戴尅戎, 等. 骨关节功能解剖学[M]. 北京: 人民军医出版社, 2011, 11: 166.
[12] Sansone V, Sosio C, De Ponti A, et al. An unusual cause of popliteal cyst[J]. Arthroscopy. 2004;20(4):432-434. DOI:10.1016/j.arthro. 2004. 01.015.
[13] Elliot D, Adani R, Tang JB, et al. Repair of soft tissue defects in finger, thumb and forearm: less invasive methods with similar outcomes[J]. J Hand Surg Eur Vol. 2018 Dec;43(10):1019-1029. DOI: 10.1177/1753193418805698.
[14] Lee JW, Joo MW, Kang YK, et al. Origin of Satellite Ganglion Cysts with Effusion in the Flexor Hallucis Longus Tendon Sheath around the Hallux[J]. Clin Orthop Surg. 2018;10(1):94-98. DOI: 10.4055/cios.2018.10.1.94. Epub 2018 Feb 27.
[15] Draeger RW, Singh B, Parekh SG. Quantifying normal ankle joint volume: An anatomic study[J]. Indian J Orthop. 2009;43(1):72-75. DOI: 10.4103/0019-5413.45326.
[16] 邱永敏, 顾兴初. 手部腱鞘囊肿459例手术治疗分析[J]. 中国骨伤, 1998, 11(1): 19.
[17] 高岩, 马海东, 李绍光, 等. 关节融合术治疗复发性母趾腱鞘囊肿的临床研究[J].中国骨与关节损伤杂志, 2017, 32(12): 1340- 1341.
[18] Takahisa O, Yasuhiro S, Shinichi S. Arthroscopic ganglionectomy of a toe with color-aided visualization of the ganglion stalk[J]. Foot. 2017;31: 40-43. DOI: 10.1016/j.foot.2017.02.003.

踝关节源性母趾腱鞘囊肿（附4例报告）

Ankle-derived hallux tendon sheath cysts

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 5

Metrics

本文评价

推荐阅读 0

[1]	林文杰, 孙欣, 黄文华, 魏波, 林涛, 梁振明, 钟环, 张欣, 欧阳汉斌. 踝关节融合术后后足关节生物力学分析[J]. 中国临床解剖学杂志, 2023, 41(2): 212-217.
[2]	刘金鑫, 高甲科, 张益, 陈进利, 张英泽, 于腾波. 第3腓骨肌应用于韧带重建术的解剖学研究[J]. 中国临床解剖学杂志, 2021, 39(1): 12-15.
[3]	肖湘君,刘鸣江,廖辉文,刘昌雄,王郑钢,黄新锋,黄雄杰. 游离母趾甲皮瓣嵌合第2趾骨复合组织瓣再造拇指的显微外科解剖[J]. 中国临床解剖学杂志, 2017, 35(3): 245-248.
[4]	胡德锋, 赵晓航, 马建安, 胡振业. 母趾趾背动脉皮瓣的应用解剖[J]. 中国临床解剖学杂志, 2014, 32(1): 5-7.
[5]	王旭东, 杨瑛艳, 巫文强, 胡湘元, 王文刚, 陈伟练. 母趾腓侧皮瓣修复指掌侧软组织缺损的方法及效果[J]. 中国临床解剖学杂志, 2013, 31(2): 214-216.