tailieunhanh - Hạch của các tay và cổ tay

Hạch của bàn tay và cổ tay là tổn thương lành tính thường gặp. Thường NHẤT CHÚNG PHÁT SINH tiếp giáp với khớp và gân, Cũng Có Thể mục tiêu intratendinous hoặc intraosseous. Điều trị tùy chọn bao gồm quan sát, nguyện vọng, và cắt bỏ phẫu thuật. Quan sát NHẤT LÀ chấp nhận được trong trường hợp. | Ganglions of the Hand and Wrist Lacy E. Thornburg MD Abstract Ganglions of the hand and wrist are common benign lesions. They most frequently arise adjacent to joints and tendons but may also be intratendinous or intraosseous. Treatment options include observation aspiration and surgical excision. Observation is acceptable in most instances. Indications for more aggressive treatment include pain interference with activity nerve compression and imminent ulceration in the case of some mucous cysts . The recurrence rate after puncture and aspiration is greater than 50 for cysts in most locations but is less than 30 for cysts in the flexor tendon sheath. Surgical excision is effective with a recurrence rate of only 5 if care is taken to completely excise the stalk of the cyst along with a small portion of joint capsule. Surgical treatment of occult ganglions is successful with accurate assessment of the source of the pain. Arthroscopic treatment of dorsal wrist ganglions is still experimental but early results are encouraging. Ganglion surgery requires a formal operative environment and careful technique in order to minimize injury to adjacent structures and minimize the likelihood of recurrence. J Am Acad Orthop Surg 1999 7 231-238 Ganglions represent 60 of hand and wrist tumors and are a common reason for orthopaedic consultation. Women are three times more likely to be affected than men. Although ganglions affect all age groups they are unusual in children and most common in young adults. Mucous cysts are predominantly seen in older Ganglions are usually located adjacent to joints and tendons. Common sites about the hand and wrist include the dorsal wrist dorsal wrist ganglion volar-radial wrist volar carpal ganglion dorsum of the distal interphalangeal DIP joint mucous cyst and the proximal digital flexion crease volar retinacular ganglion cyst . Less commonly ganglions present in an intraosseous location are adherent to tendons especially the extensor