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1.
World Neurosurg ; 135: 171-172, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31870821

RESUMO

Benign peripheral nerve sheath tumors are well known to neurosurgeons and a relatively commonly seen pathology. Intraneural ganglion cysts, once thought to be rare and poorly understood, are increasingly recognized in clinical practice and better understood based on the advent of high-resolution imaging. There are few reports of different nerve lesions in the same anatomic location appearing concurrently. Herein we present a patient with 2 distinct pathologies explaining 2 distinct symptom complexes-sensory changes in the superficial peroneal distribution (from a schwannoma of the superficial peroneal nerve) and mild motor weakness in the tibialis anterior (from an intraneural ganglion cyst arising from the superior tibiofibular joint affecting this motor branch). Recognition of the 2 pathologies allowed targeted surgical approaches, which led to resolution of the symptoms.


Assuntos
Cistos Glanglionares/diagnóstico por imagem , Neurilemoma/diagnóstico por imagem , Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem , Neuropatias Fibulares/diagnóstico por imagem , Idoso , Feminino , Cistos Glanglionares/complicações , Cistos Glanglionares/cirurgia , Humanos , Imagem por Ressonância Magnética , Neurilemoma/complicações , Neurilemoma/cirurgia , Neoplasias do Sistema Nervoso Periférico/complicações , Neoplasias do Sistema Nervoso Periférico/cirurgia , Nervo Fibular/diagnóstico por imagem , Nervo Fibular/cirurgia , Neuropatias Fibulares/complicações , Neuropatias Fibulares/cirurgia
2.
J Clin Ultrasound ; 48(1): 9-13, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31774183

RESUMO

PURPOSE: The purpose of this study was to assess the clinical and sonographic features of flexor tendon sheath ganglion cysts in the fingers. METHODS: We retrospectively reviewed the clinical and sonographic features of 35 cases of flexor tendon sheath ganglion cysts in the fingers in 34 patients that were pathologically confirmed between 2003 and 2018. RESULTS: The mean age of the patients was 44.2 years (range, 11-73 years). Lesions were located at the level of the metacarpophalangeal joint (n = 22 [63%]) and proximal phalanx (n = 11 [31%]), and involvement of the third finger was common (n = 19 [54%]). The mean lesion size was 6 mm and the mean volume was 90 mm3 . None of the lesions had a pedicle. Lesions were homogeneous (n = 24 [69%]) and anechoic (n = 23 [66%]). A septum was noted in 12 cases (34%). CONCLUSIONS: Flexor tendon sheath ganglion cysts are most commonly located in the third finger and at the level of the metacarpophalangeal joint and proximal phalanx. It usually presents as a simple cyst without a pedicle, but occasionally exhibits a mixed echogenicity and contains a septum.


Assuntos
Dedos/diagnóstico por imagem , Cistos Glanglionares/diagnóstico por imagem , Tendões/diagnóstico por imagem , Adolescente , Adulto , Idoso , Criança , Feminino , Dedos/patologia , Seguimentos , Cistos Glanglionares/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Tendões/patologia , Ultrassonografia , Adulto Jovem
3.
J Am Podiatr Med Assoc ; 109(4): 312-316, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31762307

RESUMO

Compartment syndromes associated with arthroscopy have been rarely reported. Compartment syndrome after knee arthroscopy has been reported in some case reports, whereas we could find only one case report of acute compartment syndrome following ankle arthroscopy after Maisonneuve fracture. However, there has been no previous report of a case of acute compartment syndrome after ankle arthroscopy in an atraumatic patient. In this article, we present a case of acute compartment syndrome during ankle arthroscopic procedures in an atraumatic patient.


Assuntos
Articulação do Tornozelo/diagnóstico por imagem , Artroscopia/efeitos adversos , Síndromes Compartimentais/etiologia , Cistos Glanglionares/cirurgia , Instabilidade Articular/cirurgia , Complicações Pós-Operatórias/etiologia , Adulto , Tornozelo/diagnóstico por imagem , Cistos Glanglionares/diagnóstico por imagem , Humanos , Instabilidade Articular/diagnóstico por imagem , Imagem por Ressonância Magnética , Masculino
4.
J Med Case Rep ; 13(1): 293, 2019 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-31522686

RESUMO

BACKGROUND: A hip joint ganglion is a rare cause of lower-extremity swelling. CASE PRESENTATION: We report a case of a Japanese patient with ganglion of the hip with compression of the external iliac/femoral vein that produced signs and symptoms mimicking those of deep vein thrombosis. CONCLUSIONS: Needle aspiration of the ganglion was performed, and swelling of the lower extremity promptly decreased. At 7.5 years after aspiration, there was no recurrence of swelling of the leg. Although the recurrence rate for ganglions after needle aspiration is high, it is worthwhile trying aspiration first.


Assuntos
Acetábulo/diagnóstico por imagem , Constrição Patológica/fisiopatologia , Edema/fisiopatologia , Veia Femoral/fisiopatologia , Cistos Glanglionares/fisiopatologia , Veia Ilíaca/fisiopatologia , Idoso de 80 Anos ou mais , Constrição Patológica/diagnóstico por imagem , Feminino , Veia Femoral/diagnóstico por imagem , Cistos Glanglionares/diagnóstico por imagem , Humanos , Veia Ilíaca/diagnóstico por imagem , Extremidade Inferior/fisiopatologia , Imagem por Ressonância Magnética , Tomografia Computadorizada por Raios X
5.
Muscle Nerve ; 60(5): 544-548, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31361339

RESUMO

INTRODUCTION: Ultrasound (US) evaluation of peripheral nerves is a noninvasive, cost-effective approach to diagnosing focal mononeuropathies and guiding surgical management. We used the intranerve ratio to evaluate for possible cut-off values in diagnosis of fibular mononeuropathies (FNs). METHODS: A retrospective analysis of FN confirmed by electrodiagnosis (EDx) was performed to identify intranerve ratio values between affected and unaffected limbs at the fibular head and popliteal fossa. RESULTS: The optimal fibular head/popliteal fossa intranerve ratio to discriminate between limbs with and without disease was 1.25 (sensitivity, 51%; specificity, 71%). There was no statistically significant difference between affected vs unaffected limbs (ratio, 1.13; P = .15) nor in subgroup analyses. However, 25% of patients had structural lesions amenable to surgery. DISCUSSION: The utility of US in diagnosis of FN is limited using intranerve ratio data, but US has a distinct advantage over EDx for identifying treatable structural lesions.


Assuntos
Cistos Glanglionares/diagnóstico por imagem , Neoplasias da Bainha Neural/diagnóstico por imagem , Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem , Nervo Fibular/diagnóstico por imagem , Neuropatias Fibulares/diagnóstico por imagem , Eletrodiagnóstico , Feminino , Cistos Glanglionares/complicações , Cistos Glanglionares/cirurgia , Humanos , Joelho , Masculino , Pessoa de Meia-Idade , Neoplasias da Bainha Neural/complicações , Neoplasias da Bainha Neural/cirurgia , Condução Nervosa , Tamanho do Órgão , Neoplasias do Sistema Nervoso Periférico/complicações , Neoplasias do Sistema Nervoso Periférico/cirurgia , Nervo Fibular/patologia , Neuropatias Fibulares/etiologia , Neuropatias Fibulares/cirurgia , Estudos Retrospectivos
6.
J Foot Ankle Surg ; 58(4): 795-801, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31053383

RESUMO

Intraneural ganglion cysts are benign mucinous lesions that form within joints and enter adjacent nerves via an articular branch. Despite being morphologically characterized as benign, they can demonstrate considerable intrafascicular destruction and expansion, resulting in worsening compressive neuropathies or nerve injury. There have been several suggested theories of pathogenesis, but the most widely accepted articular (synovial) theory describes a capsular defect in a neighboring joint that allows joint fluid to egress and track along the epineurium of the innervating articular branch. In this case report, we describe an intraneural ganglionic cyst located in the tarsal tunnel with extensive involvement of the tibial nerve. We describe the symptoms, diagnosis, and treatment as well as review the current literature on intraneural ganglionic cysts.


Assuntos
Cistos Glanglionares/complicações , Síndrome do Túnel do Tarso/etiologia , Tornozelo/diagnóstico por imagem , Cistos Glanglionares/diagnóstico por imagem , Cistos Glanglionares/cirurgia , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Síndrome do Túnel do Tarso/patologia , Síndrome do Túnel do Tarso/cirurgia , Nervo Tibial/cirurgia
7.
Orv Hetil ; 160(15): 593-599, 2019 Apr.
Artigo em Húngaro | MEDLINE | ID: mdl-30957539

RESUMO

Soft tissues detected on the lateral side of the knee joint may have differential diagnostic difficulties. Although most of these are benign, mostly cystic in appearance, they may raise the clinical suspicion of tumors due to their increased growth. The authors describe two rare soft tissue changes in three patients. They review the diagnostic procedures most commonly used in daily care, present surgical options, and discuss the literature of the subject. Orv Hetil. 2019; 160(15): 593-599.


Assuntos
Cistos Glanglionares/diagnóstico por imagem , Articulação do Joelho/diagnóstico por imagem , Imagem por Ressonância Magnética/métodos , Diagnóstico Diferencial , Humanos , Artropatias/diagnóstico por imagem , Articulação do Joelho/fisiopatologia , Neoplasias de Tecidos Moles
8.
J Clin Ultrasound ; 47(6): 339-344, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30888684

RESUMO

PURPOSE: To determine the safety and efficacy of ultrasound (US)-guided percutaneous treatment of volar radiocarpal ganglion cysts. METHODS: The institutional review board approved the retrospective study of patients referred for US-guided percutaneous treatment of a volar radiocarpal ganglion cyst over a 5-year period. Treatment consisted of a combination of aspiration, lavage using anesthetic, wall fenestration, and steroid injection. Intraprocedural imaging and procedure notes were reviewed. Followup information was retrieved from postprocedure electronic medical records. RESULTS: Eighty-eight patients comprised our study group. Complete decompression of the ganglion cyst was achieved in 92% of cases immediately after treatment. There were no instances of hematoma or infection. Of 38 patients with available followup information, 66% had a ganglion cyst recurrence at a median time of 9 months, regardless of their initial size or the injection of steroids. Cysts with internal septa had a statistically significantly higher rate of recurrence (P = 0.033). CONCLUSIONS: US-guided percutaneous treatment of volar radiocarpal ganglion cysts is safe and ensures immediate decompression in most cases. However, cysts may recur, even after steroid injection or lavage.


Assuntos
Cistos Glanglionares/diagnóstico por imagem , Cistos Glanglionares/terapia , Ultrassonografia de Intervenção/métodos , Adolescente , Corticosteroides/uso terapêutico , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia por Agulha Fina , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Irrigação Terapêutica , Resultado do Tratamento , Punho/diagnóstico por imagem , Adulto Jovem
9.
World Neurosurg ; 126: e259-e269, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30797927

RESUMO

BACKGROUND: Intraneural ganglion cysts of the obturator nerve are rare. Our aim is to review cases of obturator intraneural ganglion cysts at our institution and those reported in the literature. METHODS: We reviewed all cases evaluated by the senior author. A literature search was performed using the PubMed database and Google Scholar with the following terms: "obturator cyst," "obturator intraneural ganglion cyst," and "obturator intraneural ganglia." All cases underwent a retrospective review. Patient demographic data, including age, sex, and presenting signs and symptoms were recorded. Imaging studies were re-evaluated by 2 musculoskeletal radiologists experienced in the diagnosis of intraneural ganglion cysts. RESULTS: We identified 2 cases of obturator intraneural ganglia at our institution; both were connected to the hip joint. We found 4 cases that were clearly diagnosed as intraneural ganglia in the literature, of which only 1 was recognized by the original authors as being joint connected, but based on our reinterpretation, 3 of 4 were joint connected. An additional 9 cases identified in the literature did not definitely report the nerve-cyst relationship, but based on our reinterpretation, were believed to be intraneural; 8 were joint connected. CONCLUSIONS: We believe that obturator intraneural ganglion cysts adhere to the principles of the unifying articular theory. They arise from the anteromedial hip joint and extend into an articular branch and can reach the parent obturator nerve. Surgery should address the hip disease and/or the articular branch connection. Not appreciating the pathoanatomy of these cysts can lead to persistent or recurrent cysts.


Assuntos
Cistos Glanglionares/cirurgia , Adulto , Idoso , Eletromiografia , Feminino , Cistos Glanglionares/diagnóstico por imagem , Cistos Glanglionares/patologia , Articulação do Quadril/diagnóstico por imagem , Articulação do Quadril/patologia , Articulação do Quadril/cirurgia , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Debilidade Muscular/etiologia , Nervo Obturador/diagnóstico por imagem , Nervo Obturador/patologia , Nervo Obturador/cirurgia , Dor Pós-Operatória/etiologia , Dor Pós-Operatória/cirurgia , Estudos Retrospectivos , Espondiloartropatias/etiologia , Adulto Jovem
10.
J Foot Ankle Surg ; 58(2): 377-380, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30612871

RESUMO

Soft tissue ganglion cysts are a well-known cause of tibial nerve compression in the tarsal tunnel. We describe a patient who presented with tibial nerve symptoms and was found to have an adventitial cyst of the tibial vein arising from the subtalar joint, with the joint connection confirmed both on imaging and at surgery. Surgical decompression of the cyst with transection of the vascular pedicle arising from the subtalar joint improved her symptoms at 6 months, and postoperative magnetic resonance imaging showed resolution of the cyst. Cystic adventitial disease is a rare, poorly understood condition in which a cyst is identified in the adventitia of a vessel, usually an artery. Only 3 cases of adventitial cysts have been reported in the foot and ankle region, 2 in the lesser and 1 in the greater saphenous vein. None of the previous cases have been recognized to be joint connected. This case provides additional evidence for an articular origin for adventitial cysts and helps guide management strategies for these joint-connected cysts.


Assuntos
Descompressão Cirúrgica/métodos , Cistos Glanglionares/cirurgia , Veia Safena/cirurgia , Articulação Talocalcânea/cirurgia , Adulto , Biópsia por Agulha , Progressão da Doença , Feminino , Cistos Glanglionares/diagnóstico por imagem , Cistos Glanglionares/patologia , Humanos , Imuno-Histoquímica , Imagem por Ressonância Magnética/métodos , Síndromes de Compressão Nervosa/diagnóstico , Síndromes de Compressão Nervosa/etiologia , Medição da Dor , Doenças Raras , Medição de Risco , Veia Safena/patologia , Articulação Talocalcânea/diagnóstico por imagem , Resultado do Tratamento
11.
Skeletal Radiol ; 48(1): 163-165, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29876592

RESUMO

The transverse acetabular ligament is an unusual location for ganglion cysts. Only a few cases have been reported in the literature. They can be asymptomatic and represent an incidental finding or can cause an atypical pattern of hip joint/groin pain. We report a case of ganglion cyst arising from the TAL causing entrapment of the anterior branch of the obturator nerve with associated acute denervation of the abductor longus (AL), adductor brevis (AB), and gracilis muscles.


Assuntos
Cistos Glanglionares/complicações , Cistos Glanglionares/diagnóstico por imagem , Síndromes de Compressão Nervosa/diagnóstico por imagem , Síndromes de Compressão Nervosa/etiologia , Nervo Obturador/lesões , Adulto , Cistos Glanglionares/cirurgia , Humanos , Ligamentos Articulares , Masculino , Síndromes de Compressão Nervosa/cirurgia , Radiografia Intervencionista , Sucção , Tomografia Computadorizada por Raios X
12.
J Ultrasound ; 22(1): 95-98, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30019288

RESUMO

The tibial nerve intraneural ganglion cyst-which presents with fluid accumulated inside the nerve epineurium-is a rare etiology of tarsal tunnel syndrome. We report a case with insidious onset of numbness over his left medial ankle. Ultrasound imaging revealed that the tibial nerve was encircled by crescent-shaped anechoic substances, spanning from the distal leg to the sole. Magnetic resonance imaging disclosed a thickened tibial nerve wrapped by hyperintense materials in the tarsal tunnel. Some effusion was observed besides the tibialis posterior and flexor digitorum tendons as well. The patient underwent a surgical treatment and an intraneural ganglion cyst was confirmed. This report elaborated the clinical and imaging presentations of a tibial nerve intraneural ganglion cyst and highlighted the usefulness of ultrasound in exploring the cause of compressive neuropathy at the ankle region.


Assuntos
Cistos Glanglionares/diagnóstico por imagem , Síndrome do Túnel do Tarso/diagnóstico por imagem , Nervo Tibial/diagnóstico por imagem , Ultrassonografia , Diagnóstico Diferencial , Cistos Glanglionares/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Síndrome do Túnel do Tarso/cirurgia
13.
Z Orthop Unfall ; 157(5): 562-565, 2019 Oct.
Artigo em Inglês, Alemão | MEDLINE | ID: mdl-30537765

RESUMO

A ganglion cyst is rarely the cause of peripheral nerve compression. In the lower extremity, it is important to distinguish clinically the symptoms from a radiculopathy. In the literature, neural damage of the peroneal nerve due to a ganglion cyst has been described. An acute, isolated plegia of the foot/toe dorsiflexors with completely unaffected sensory function - as in our case - has not yet been described. After clinical examination and imaging, the ganglion cyst was surgically removed and the nerve decompressed, which was followed by complete recovery of the motoric function. Peripheral nerve compression due to a ganglion cyst is an important differential diagnosis in peripheral nerve deficit. The therapy of choice is the fastest possible surgical decompression. Recovery is expected within a few weeks.


Assuntos
Cistos Glanglionares/cirurgia , Nervo Fibular/cirurgia , Neuropatias Fibulares/cirurgia , Idoso , Descompressão Cirúrgica , Cistos Glanglionares/complicações , Cistos Glanglionares/diagnóstico por imagem , Humanos , Articulação do Joelho/diagnóstico por imagem , Imagem por Ressonância Magnética , Masculino , Nervo Fibular/lesões , Neuropatias Fibulares/diagnóstico por imagem , Neuropatias Fibulares/etiologia
14.
J Ultrasound Med ; 38(8): 2155-2160, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30592543

RESUMO

OBJECTIVES: The literature states that wrist ganglion cysts are most commonly dorsal; however, our experience suggests a volar location is more common. The purpose of this study was to identify the locations of ganglion cysts of the wrist as imaged with sonography. METHODS: After Institutional Review Board approval with informed consent waived, retrospective review of wrist sonography reports from January to April 2016 was completed. Only patients who had a comprehensive evaluation that included the dorsal and volar wrist were included. Ultrasound images were reviewed to characterize wrist ganglion cysts. RESULTS: The study group consisted of 98 subjects (78% female, 22% male) (median age, 51 years; range 13-79) with 124 wrist ganglion cysts, where 69% (86 of 124) were volar and 31% (38 of 124) were dorsal. Ganglion cysts were located between the radial artery and flexor carpi radialis in 63% (78 of 124), followed by a dorsal location superficial to the scapholunate ligament in 20% (25 of 124), other dorsal locations in 11% (13 of 124), and other volar locations in 6% (8 of 124). With dorsal ganglion cysts, the scapholunate ligament when imaged appeared normal in 91% (20 of 22). Ganglion cysts were multilocular/multilobular in all subjects. CONCLUSIONS: The most common location for wrist ganglion cysts is in the volar wrist, particularly between the radial artery and flexor carpi radialis tendon, appearing multilocular or multilobular with a mean largest dimension of 1.0 cm. Given the propensity of ganglion cysts to occur at this site, attention to this area when imaging the wrist with sonography or magnetic resonance imaging should be considered.


Assuntos
Cistos Glanglionares/diagnóstico por imagem , Ultrassonografia/métodos , Punho/diagnóstico por imagem , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
15.
Adv Clin Exp Med ; 28(1): 95-102, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30070079

RESUMO

BACKGROUND: The wrist, especially its dorsal surface, is the most common location of ganglion cysts in the human body. OBJECTIVES: The purpose of this study was to present our experience in the treatment of wrist ganglions and to evaluate the results obtained with the operative management of this type of lesion. MATERIAL AND METHODS: A total of 394 patients (289 females and 105 males, aged 10-83 years) treated operatively for wrist ganglions between 2000 and 2014 were included in the study. The results of surgical treatment were evaluated after a minimal 2-year-long follow-up in 69.4% of patients operated on for dorsal wrist ganglions and in 70.6% of patients after the excision of volar wrist ganglions. The shape and size of postoperative scar, range of motion of the wrist, grip strength, severity of pain, and presence/absence of ganglion recurrence were assessed. The influence of demographic factors on the risk of recurrence was statistically analyzed. RESULTS: Persistent limitation of wrist palmar flexion was observed in 6 patients after the removal of dorsal wrist ganglions. There were no cases of postoperative grip strength weakening. An unesthetic scar developed in 15 patients after the excision of dorsal wrist ganglions and in 6 patients after the removal of volar wrist ganglions. Postoperative pain was observed in 7 patients with ganglion recurrence and in 17 patients without recurrence. Ganglion cysts recurred in 12.1% of patients treated for dorsal wrist ganglions and in 10.4% of patients operated on for volar wrist ganglions. No influence of patient gender, age, body side, or cyst location on ganglion recurrence was detected. CONCLUSIONS: Operative treatment is a widely recognized method of management of wrist ganglions. The rate of resulting persistent complications is low. Recurrence of ganglion cysts is unpredictable and independent of patient demographic factors. It can be observed even in cases, in which a perfect surgical technique has been used.


Assuntos
Cistos Glanglionares/cirurgia , Articulação do Punho/fisiopatologia , Articulação do Punho/cirurgia , Punho/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Cistos Glanglionares/diagnóstico por imagem , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Dor Pós-Operatória , Amplitude de Movimento Articular , Resultado do Tratamento , Ultrassonografia , Punho/diagnóstico por imagem , Punho/fisiopatologia , Articulação do Punho/diagnóstico por imagem , Adulto Jovem
16.
Med Ultrason ; 20(4): 540-541, 2018 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-30534667

RESUMO

We reported a 43-year-old man with right-foot numbness under the tentative diagnosis of tarsal tunnel syndrome. The initial ultrasound examination did not identify any remarkable findings at the level of the medial malleolus. Owing to the failure of conservative treatments, he was referred for US-guided injection of the tibial nerve. When tracking the entire course of the nerve, a ganglion cyst was observed on top of the tibial nerve, in proximity to the medial and lateral plantar branches. The symptom disappeared after surgical excision. The present case highlights the importance of sonoantomy and tracking of the entire course of affected nerve in peripheral nerve disorders and scout scanning prior to any perineural injections.


Assuntos
Doenças do Pé/diagnóstico por imagem , Cistos Glanglionares/diagnóstico por imagem , Síndrome do Túnel do Tarso , Ultrassonografia/métodos , Adulto , Diagnóstico Diferencial , Pé/diagnóstico por imagem , Pé/inervação , Pé/cirurgia , Doenças do Pé/cirurgia , Cistos Glanglionares/cirurgia , Humanos , Masculino , Nervo Tibial/diagnóstico por imagem , Nervo Tibial/cirurgia
17.
Acta Orthop Belg ; 84(1): 78-83, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30457504

RESUMO

The purpose of this study was to compare the treatment results of sonography-guided arthroscopic excision for volar and dorsal wrist ganglions. A total of 42 patients with wrist ganglions underwent sonography-guided arthroscopic resection. Clinical outcome measures included wrist range of motion, grip strength, patient-rated questionnaire Hand20, and numerical pain rating scale. All patients were assessed for recurrence throughout the follow-up period. Ganglions were located at the dorsal wrist in 26 cases and at the volar wrist in 16 cases. The mean Hand20 and pain scores were significantly improved after sonography-guided arthroscopic resection for both volar and dorsal wrist ganglions. Recurrence was seen in six cases (23%) of dorsal wrist ganglion but no cases of volar wrist ganglion (P < .05). The use of sonography-guided arthroscopic ganglion excision is better for treating volar wrist ganglion than dorsal wrist ganglion.


Assuntos
Artroscopia/métodos , Cistos Glanglionares/cirurgia , Articulação do Punho/cirurgia , Punho/cirurgia , Adolescente , Adulto , Idoso , Feminino , Cistos Glanglionares/diagnóstico por imagem , Cistos Glanglionares/fisiopatologia , Força da Mão/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Amplitude de Movimento Articular/fisiologia , Resultado do Tratamento , Ultrassonografia , Punho/diagnóstico por imagem , Punho/fisiopatologia , Articulação do Punho/diagnóstico por imagem , Articulação do Punho/fisiopatologia , Adulto Jovem
18.
Acta Neurochir (Wien) ; 160(12): 2479-2484, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30377830

RESUMO

Superficial radial intraneural ganglion cysts are rare. Only nine previous cases have been described. We provide two examples with a wrist joint connection and review the literature to provide further support for the unifying articular (synovial) theory for the pathogenesis and treatment of intraneural ganglia.


Assuntos
Cistos Glanglionares/cirurgia , Punho/cirurgia , Adulto , Feminino , Cistos Glanglionares/diagnóstico por imagem , Cistos Glanglionares/patologia , Humanos , Imagem por Ressonância Magnética , Masculino , Punho/diagnóstico por imagem , Punho/patologia
20.
Medicine (Baltimore) ; 97(36): e12161, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30200116

RESUMO

RATIONALE: Tumors of the scaphoid are rare, and some can cause pathological fractures. No cases of pathological fractures of the scaphoid have been reported in children. The most common treatment for pathologic fractures of the scaphoid bone associated with a benign lesion in adults is surgical, with intralesional curettage associated with autologous bone grafting and internal fixation. PATIENT CONCERNS: A 10-year-old boy presented with wrist pain after falling from his height. DIAGNOSES: X-ray, CT-scan and MRI showed a pathological undisplaced fracture of the scaphoid on a benign lytic lesion. INTERVENTIONS: The arm was immobilized in a below-elbow cast. OUTCOMES: The fracture healed within 4 months of immobilization. 3 years after the fracture, the functional status was normal, and the lytic lesion could not be seen on radiographs. LESSONS: Retrospectively, the most probable etiology was a ganglion cyst. Our case suggests that some pathological fractures of the scaphoid may not need surgery, especially not in children.


Assuntos
Tratamento Conservador , Fraturas Ósseas/terapia , Osso Escafoide/lesões , Acidentes por Quedas , Cistos Ósseos/complicações , Cistos Ósseos/diagnóstico por imagem , Cistos Ósseos/terapia , Criança , Diagnóstico Diferencial , Fixadores Externos , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/etiologia , Cistos Glanglionares/complicações , Cistos Glanglionares/diagnóstico por imagem , Cistos Glanglionares/terapia , Humanos , Masculino , Osso Escafoide/diagnóstico por imagem
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