Adventitial Cystic Disease of the Radial Artery.
| Autor: | Vaughn NH; Departments of Orthopaedics and Rehabilitation, Penn State College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA., Flemming DJ; † Departments of Radiology, Penn State College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA., Newell JM; ‡ Departments of Anatomic Pathology, Penn State College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA., Payatakes AH; Departments of Orthopaedics and Rehabilitation, Penn State College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The journal of hand surgery Asian-Pacific volume [J Hand Surg Asian Pac Vol] 2018 Dec; Vol. 23 (4), pp. 581-584. |
| DOI: | 10.1142/S2424835518720347 |
| Abstrakt: | Upper extremity adventitial cystic disease is rare, but the characteristic findings of this lesion should be known to the hand surgeon and used to guide treatment. We present a case of a young adult male who developed a painless mass in his distal forearm. Diagnostic imaging workup revealed a cystic mass that extended within and encased the radial artery. Both MRI and direct intraoperative visualization confirmed the presence of a stalk connecting the intra-mural radial artery mass to the radiocarpal joint. The mass and stalk were excised en bloc with fenestration of the volar capsule to prevent recurrence. This case demonstrates a less common example of upper extremity adventitial cystic disease and supports the articular theory of origin of these lesions. When surgical excision is performed, an attempt should be made to identify and excise the articular stalk in an effort to minimize risk of recurrence. |
| Databáze: | MEDLINE |
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