CAJ | 학술논문

目的：探讨腕关节镜治疗腕骨内腱鞘囊肿的方法及疗效。方法2013年5月—2014年5月，应用腕关节镜治疗腕骨内腱鞘囊肿5例，其中月骨3例，舟骨1例，三角骨1例。主要症状为腕部不适、疼痛，伴握力下降和活动度降低。 X线平片及CT显示腕骨内圆形或类圆形骨密度减低区，边界清楚，有硬化缘。 MRI显示病灶内为液体。采用腕关节镜下病灶刮除＋自体松质骨或注射型人工骨移植术治疗，术后腕关节功能位固定3周。结果5例均获得随访，平均6.8个月。所有病例无复发，植骨愈合满意。患者腕关节疼痛及不适症状明显缓解，术后均恢复正常的生活工作。结论腕关节骨内腱鞘囊肿是慢性腕关节疼痛原因之一，腕关节镜技术在腕骨内腱鞘囊肿的治疗中，手术方法安全，并发症少，功能恢复快，手术效果满意。
목적：탐토완관절경치료완골내건초낭종적방법급료효。방법2013년5월—2014년5월，응용완관절경치료완골내건초낭종5례，기중월골3례，주골1례，삼각골1례。주요증상위완부불괄、동통，반악력하강화활동도강저。 X선평편급CT현시완골내원형혹류원형골밀도감저구，변계청초，유경화연。 MRI현시병조내위액체。채용완관절경하병조괄제＋자체송질골혹주사형인공골이식술치료，술후완관절공능위고정3주。결과5례균획득수방，평균6.8개월。소유병례무복발，식골유합만의。환자완관절동통급불괄증상명현완해，술후균회복정상적생활공작。결론완관절골내건초낭종시만성완관절동통원인지일，완관절경기술재완골내건초낭종적치료중，수술방법안전，병발증소，공능회복쾌，수술효과만의。
Objective To investigate the arthroscopic treatment methods of intraosseous ganglion cysts of the wrist. Methods From May 2013 to May 2014, 5 patients with intraosseous ganglion cysts in the wrist were treated with arthroscopic technique. There were 3 cases in the lunate, 1 in the scaphoid and 1 in the triangular bone. The main symptom was chronic wrist pain, decreased grip strength and limitation of wrist movement. The X-ray and CT showed circular and quasi-circular areas of reduced bone mineral density within the carpal bone with a clear boundary and slightly sclerotic margin. The MRI revealed the liquid content. All the patients were treated by arthroscopic technique: curettage of the ganglion cysts and autologous cancellous bone or injectable artificial bone grafting. The wrists were immobilized at the functional position for 3 weeks after the operation. Results All the patients were followed up for a mean period of 6.8 months ( range 4~12 months ). All cases had no recurrence and obtained bone healing. The symptoms were relieved. All the patients recovered to their normal life and work. Conclusion Intraossous ganglion cysts in the wrist remain a cause of chronic wrist pain. The arthroscopic technique in the treatment of intraosseous ganglion cysts of the wrist is safe, less complication, rapid recovery of function, the effect is satisfactory.