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Operative Treatment for Ganglion Cyst of Flexor Hallucis Longus Sheath

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机构: [1]Capital Med Univ, Beijing Tongren Hosp, Ctr Foot & Ankle Surg, 1 Dongjiao Minxiang, Beijing 100730, Peoples R China [2]Univ Miami, Miller Sch Med, Foot Ankle Serv, Dept Orthopaed, Miami, FL 33136 USA [3]Hebei Med Univ, Affiliated Hosp 3, Dept Foot, Shijiazhuang, Hebei, Peoples R China [4]Capital Med Univ, Beijing Tongren Hosp, Dept Rehabil Med, Beijing, Peoples R China [5]Ankle & Foot Surg Ctr, Clin Union, Blvd Ratalens, St Jean, France
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关键词: flexor hallucis longus ganglion cysts ankle joint

摘要:
Background: Intractable hallucal ganglion cysts (HGCs) are often a symptomatic and recurrent condition. Its connection with the ankle joint is not well understood. Our aim was to evaluate the relationship between tenosynovitis of the flexor hallucis longus (FHL) tendon at the level of the ankle with formation of an HGC. In addition, we sought to analyze the outcomes of cyst excision combined with ankle capsulorrhaphy. Methods: Nineteen patients with HGC who underwent surgical intervention were included between June 2016 and June 2019. Eight had known recurrences. Ankle arthrography and cyst excision were performed on all patients. Clinical evaluations included the American Orthopaedic Foot & Ankle Society (AOFAS) scores, visual analog scale (VAS), and evaluation of postoperative complications. The mean follow-up period was 16.5 +/- 8.6 months. Results: Thirteen of the 19 HGCs (68.4%) had a connection with the FHL tendon sheath. Combined with ankle capsulorrhaphy, there was no recurrence after cyst excision. The VAS score decreased from 2.1 +/- 1.5 to 0.4 +/- 0.8, and AOFAS score significantly improved from 84.3 +/- 8.7 to 97.4 +/- 5.2 at final follow-up (P < .001). Conclusions: Most of these patients had a connection between the HGC and ankle joint. Ankle arthrography appeared to be useful for diagnosis, and cyst excision combined with ankle capsulorrhaphy was an effective treatment without cyst recurrence.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 3 区 骨科
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 骨科
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出版当年[2018]版:
Q2 ORTHOPEDICS
最新[2023]版:
Q2 ORTHOPEDICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Capital Med Univ, Beijing Tongren Hosp, Ctr Foot & Ankle Surg, 1 Dongjiao Minxiang, Beijing 100730, Peoples R China
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通讯机构: [1]Capital Med Univ, Beijing Tongren Hosp, Ctr Foot & Ankle Surg, 1 Dongjiao Minxiang, Beijing 100730, Peoples R China [*1]Center of Foot and Ankle Surgery, Beijing Tongren Hospital, Capital Medical University, 1 Dongjiao Minxiang, West Area, Beijing, 100730, China.
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