Application of three-dimensional rendering in joint-related ganglion cysts

Spinner, Robert J.; Edwards, Phillip; Amrami, Kimberly K.

doi:10.1002/ca.20292

Cited by 28 publications

(17 citation statements)

References 26 publications

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“…Eighteen duplicate case reports were identified, 17 of which were excluded. 6,26,46,60,67,71,97,111,121,131,134,135,158,163,165,168,172 The 1 duplicate case report that was included consisted of a retracted article, 2,56 which contained information on 2 new cases and therefore remained for analysis. Twentythree articles were excluded during the screening process because they were published prior to 1914.…”

Section: Results Part 1 Literature Reviewmentioning

confidence: 99%

Intraneural ganglion cysts: a systematic review and reinterpretation of the world's literature

Desy

Wang²,

Elshiekh

et al. 2016

JNS

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615 Literature review J Neurosurg 125:615-630, 2016I ntraneural ganglion cysts are benign mucinous lesions that are formed within peripheral nerves and typically lead to symptoms and signs of peripheral neuropathy. Their pathogenesis has been controversial. Different treatments have been recommended. Outcomes have been disappointing and the recurrence rate high and underreported.Over the past 15 years, our group has provided substantial evidence to support a unifying articular (synovial) theory as the etiology for all intraneural ganglion cysts. In 2003, the senior author (R.J.S.) demonstrated that the prototypical intraneural cysts of the common peroneal nerve are joint derived. Cyst formation originates in the superior tibiofibular joint (STFJ) and propagates toward abbreviatioNs EMG = electromyography; NCS = nerve conduction studies; STFJ = superior tibiofibular joint. obJective The etiology of intraneural ganglion cysts has been controversial. In recent years, substantial evidence has been presented to support the articular (synovial) theory for their pathogenesis. The authors sought to 1) perform a systematic review of the world's literature on intraneural cysts, and 2) reinterpret available published MR images in articles by other authors to identify unrecognized joint connections. methods In Part 1, all cases were analyzed for demographic data, duration of symptoms, the presence of a history of trauma, whether electromyography or nerve conduction studies were performed, the type of imaging, surgical treatment, presence of a joint connection, intraneural cyst recurrence, and postoperative imaging. Two univariate analyses were completed: 1) to compare the proportion of intraneural ganglion cyst publications per decade and 2) to assess the number of recurrences from 1914 to 2003 compared with the years 2004-2015. Three multivariate regression models were used to identify risk factors for intraneural cyst recurrence. In Part 2, the authors analyzed all available published MR images and obtained MR images from selected cases in which joint connections were not identified by the original authors, specifically looking for unrecognized joint connections. Two univariate analyses were done: 1) to determine a possible association between the identification of a joint connection and obtaining an MRI and 2) to assess the number of joint connections reported from 1914 to 2003 compared with 2004 to 2015. resuLts In Part 1, 417 articles (645 patients) were selected for analysis. Joint connections were identified in 313 intraneural cysts (48%). Both intraneural ganglion cyst cases and cyst recurrences were more frequently reported since 2004 (statistically significant difference for both). There was a statistically significant association between cyst recurrence and percutaneous aspiration as well as failure to disconnect the articular branch or address the joint. In Part 2, the authors identified 43 examples of joint connections that initially went unrecognized: 27 based on their retrospective MR image reinterpretation o...

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Section: Results Part 1 Literature Reviewmentioning

confidence: 99%

Intraneural ganglion cysts: a systematic review and reinterpretation of the world's literature

Desy

Wang²,

Elshiekh

et al. 2016

JNS

Self Cite

111

134

View full text Add to dashboard Cite

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“…In addition, other diagnostic possibilities would be L5 root pathology, and a lesion of the common fibular nerve. This last nerve may be affected in several conditions, namely posttraumatic intraneural hemorrhage, compression near the tendinous arch located at the fibular insertion of the fibular longus muscle, compression by a ganglion cyst in the vicinity of the knee or even a nerve sheath tumor (Rawal et al, 2004;Spinner et al, 2006;Ji et al, 2007;El Gharbawy et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Paresthesia and hypesthesia in the dorsum of the foot as the presenting complaints of a ganglion cyst of the foot

et al. 2010

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Although ganglion cysts of the foot represent a substantial amount of lumps in this region, they rarely cause peripheral nerve symptoms. We describe the clinical case of a 43-year-old female with complaints in the previous three months of hypesthesia and paresthesia in the anterior portion of the medial half of the dorsum of her left foot that extended into the first interdigital cleft. She associated the start of her neurological symptoms to the appearance of a lump in the dorsum of the foot. A presumptive diagnosis of compression of the medial branch of the deep fibular nerve and of the medial dorsal cutaneous nerve in the dorsum of the foot by a ganglion cyst was made. Ultrasonography confirmed the cystic nature of the lesion and surgery allowed complete excision of a mass arising from the joint between the medial and intermediate cuneiform bones that was compressing the deep fibular nerve and the medial dorsal cutaneous nerve. Pathological examination confirmed that the lesion was a cystic ganglion. As far as the authors know, the simultaneous compression of the medial branch of the deep fibular nerve and of the medial dorsal cutaneous nerve in the dorsum of the foot by a ganglion cyst has not been described before.

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“…We recently treated a recurrent popliteal artery cyst in the popliteal fossa in a patient with a peroneal nerve palsy and showed a knee joint connection via an articular capsular arterial branch. 19 Magnetic resonance imaging has an important role in diagnosing these adventitial cysts. Because of the rarity of radial artery adventitial cysts and the frequency of more typical cysts, it is understandable that consistent information about their appearance on MRI is unavailable.…”

Section: Discussionmentioning

confidence: 99%