Synovial cysts of the proximal tibiofibular joint: three case reports
Synovial cysts of the proximal tibiofibular joint: three case reports
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DOI：
10.1016/s1297-319x(02)00403-7
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发表时间：
2002-05-01
期刊：
影响因子：
4.2
通讯作者：
Ziza, JM
中科院分区：
文献类型：
--
作者：
Pagnoux, C;Lhotellier, L;Ziza, JM
滑膜囊肿是位于关节内或关节周围的充满液体的肿块，内衬滑膜。主要症状是疼痛和/或神经功能缺损。它们可以是神经内或神经外的，也可以在肌肉之间或肌肉内发展。滑膜囊肿发生在距离关节的距离提高诊断的挑战。我们报告三例滑膜囊肿的近端胫腓关节，包括肌内囊肿负责瘫痪的前外侧腿部肌肉。胫腓滑膜囊肿比腘囊肿少见，其病理生理机制知之甚少。压迫腓总神经是主要的并发症，需要仔细手术切除囊肿。囊肿内注射糖皮质激素可作为无腓总神经症状患者的一线治疗。(C)2002年，Elsevier SAS科学与医学版。
Synovial cysts are fluid-filled masses lined with synovium and located within or about joints. The main symptoms are pain and/or neurological deficits. They can be intraneural or extraneural or develop between or within muscles. Synovial cysts that arise at a distance from a joint raise diagnostic challenges. We report three cases of synovial cysts of the proximal tibiofibular joint, including an intramuscular cyst responsible for paralysis of the anterolateral leg muscles. Tibiofibular synovial cysts are less common than popliteal cysts, and their pathophysiology is poorly understood. Pressure on the common peroneal nerve is the main complication and requires careful surgical excision of the cyst. Injection of a glucocorticoid into the cyst can be used as the first-line treatment in patients without common peroneal nerve symptoms. (C) 2002 Editions scientifiques et medicales Elsevier SAS.