PDF(Pubmed)
Abstract：
BACKGROUND This article presents a rare case of 2 separate intraosseous ganglion cysts of the talus in a 51-year-old man, treated with a unique technique of precise lesion targeting to avoid extensive bone loss and minimize articular chondral injury of the talus. CASE REPORT Two separate intraosseous ganglion cysts of the talus were diagnosed in a 51-year-old man with chronic ankle pain. A single straight-line incision with an entry point through the talonavicular joint was created to spare the precarious blood supply of the talus network. The 2 distinct subchondral lesions were approached under fluoroscopic control for curettage and autologous bone grafting using the anterior cruciate ligament tibial guide in a pair-of-compasses fashion. In almost 5 years of follow-up the patient has been asymptomatic. Magnetic resonance imaging has revealed no signs of degenerative changes in the ankle or the talonavicular joint, and the intraosseous edema has almost disappeared. CONCLUSIONS To the best of our knowledge, this case is the first report of 2 distinct intraosseous ganglion cysts of the talus. We recommend the precise targeting technique used in our case for treating intraosseous talar lesions with intact articular cartilage.
摘要：
背景本文介绍了一个罕见的病例，在一名51岁的男性中，有2个独立的距骨骨内神经节囊肿，采用独特的精确病灶靶向技术进行治疗，以避免广泛的骨质流失并最大程度地减少距骨的关节软骨损伤。病例报告在一名患有慢性踝关节疼痛的51岁男性中诊断出两个独立的距骨内神经节囊肿。创建了具有穿过距骨关节的入口点的单个直线切口，以避免距骨网络的不稳定血液供应。在透视控制下，使用前交叉韧带胫骨导向器以一对罗盘方式治疗2个明显的软骨下病变，进行刮除和自体植骨。在近5年的随访中，患者无症状。磁共振成像显示踝关节或距骨关节没有退行性改变的迹象，骨内水肿几乎消失了.就我们所知,该病例是2个明显的距骨骨内神经节囊肿的首次报告。我们建议在我们的案例中使用精确的靶向技术来治疗完整关节软骨的骨内距骨病变。
