踝关节源性母趾腱鞘囊肿（附4例报告）

邢耀文, 陆志方, 范春海, 王占平, 苏锴, 陈玉文

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

临床研究

踝关节源性母趾腱鞘囊肿（附4例报告）

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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

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

陆志方，医学博士，副教授, 副主任医师，E-mail：sstone2001@263.net

收稿日期: 2023-08-15

网络出版日期: 2024-06-28

基金资助

国家自然科学基金面上项目（71773002）

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Ankle-derived hallux tendon sheath cysts

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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 date: 2023-08-15

Online published: 2024-06-28

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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

本文引用格式

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

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

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