Application of joint debridement for distal interphalangeal joint mucocele

中华手外科杂志 Pub Date : 2020-04-10 DOI:10.3760/CMA.J.CN311653-20190322-00081

Zhe Zhu, Di You, Wenlai Guo, Chao Huang, Rui Li, Zuofeng Wang, Jiahui Lin

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Abstract

Objective To evaluate the clinical efficacy of simple joint debridement in the treatment of distal interphalangeal joint mucocele. Methods From April 2013 to September 2017, 12 patients with 15 fingers of distal interphalangeal joint or thumb interphalangeal joint mucocele were treated by joint debridement. The dorsal joint capsule and osteophyte were removed during the operation. Results One finger had partial necrosis of the incision skin and healed after dressing change. The incision skin of the rest fingers achieved primary healing. The postoperative follow-up ranged from 14 to 22 months with an average of 15.5 months. No recurrence of cyst and rupture of extensor tendon were found. The range of motion of the affected finger joint was significantly increased and the pain of the joint movement was alleviated. Conclusion The simple interphalangeal joint debridement through dorsal approach without cyst wall removal can avoid skin grafting and skin flap treatment. It has the advantages of low recurrence rate and good joint activity. It can be widely used in clinic. Key words: Mucocele; Osteophyte; Interphalangeal joint; Joint debridement

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关节清创在远端指间关节黏液囊肿中的应用

目的探讨单纯关节清创治疗指间关节远端黏液囊肿的临床疗效。方法2013年4月~ 2017年9月对12例15指远端指间关节或拇指指间关节粘液囊肿患者进行关节清创治疗。术中切除关节背囊和骨赘。结果1指切口皮肤部分坏死，换药后愈合。其余手指切口皮肤基本愈合。术后随访14 ~ 22个月，平均15.5个月。未见囊肿复发及伸肌腱断裂。患指关节活动范围明显增加，关节活动疼痛减轻。结论单纯背侧入路指间关节清创术不切除囊肿壁，可避免植皮及皮瓣治疗。它具有复发率低、关节活动性好等优点。可广泛应用于临床。关键词:粘液囊肿;骨赘;关节;联合清创

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中华手外科杂志

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