Arthroscopic excision of the ganglion in the posterior septum by posterior trans-septal portal: report of two cases

Yoo, Jae Ho; Kim, Eung Ha; Min, Kyoung Dae; Lee, Byung Ill

doi:10.1007/s00402-008-0703-x

Cited by 10 publications

(3 citation statements)

References 22 publications

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“…To date, articles on arthroscopic posterior trans-septal approaches for PCL reconstruction, suture of posterior horn of the medial meniscus or posterior capsules and excision of a ganglion cyst derived from the septum have been reported [8-12]. We have also used this posterior trans-septal approach to perform synovectomy of the posterior capsule, resection of the posterior horn of the medial meniscus, resection of PCL ganglion, and resection of free bodies in the posterior cavity.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of a medial meniscal cyst using a posterior trans-septal approach: a case report

Ohishi

Torikai

Suzuki

et al. 2010

BMC Sports Sci Med Rehabil

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Arthroscopic partial menisectomy followed by cyst decompression is currently recommended for treatment of a meniscal cyst. However, it is doubtful whether partial menisectomy should be performed on cysts communicating with the joint in cases without a meniscal tear on its surface since meniscal function will be sacrificed. In this report, a meniscal cyst arising from the posterior horn of the medial meniscus without meniscal tear on its surface was resected using an arthroscopic posterior trans-septal approach. A 59 year-old male presented to our hospital with popliteal pain when standing up after squatting down. Magnetic resonance imaging revealed a multilobulated meniscal cyst arising from the posterior horn of the medial meniscus extending to the posterior septum with a grade 2 meniscal tear by Mink's classification. The medial meniscus was intact on the surface on arthroscopic examination. The meniscal cyst and posterior septum were successfully resected using a posterior trans-septal approach without harming the meniscus. This is the first report on a meniscal cyst being resected using an arthroscopic posterior trans-septal approach with a 9-month follow-up period.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of a medial meniscal cyst using a posterior trans-septal approach: a case report

Ohishi

Torikai

Suzuki

et al. 2010

BMC Sports Sci Med Rehabil

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“…17,18 The transseptal portal provides an excellent visualization of the posterior compartment and can be used in many troublesome situations. 15,17,[19][20][21][22][23] However, it is technically demanding and requires special care to avoid posterior neurovascular injuries. Therefore, finding the most suitable and safe position in different kinds of surgeries is important.…”

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confidence: 99%

Different Strategies in Making Transseptal Portal for the Different Purposes

et al. 2019

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AbstractThe purpose of this study was to find the most suitable and safe position of the transseptal portal in anatomic anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) reconstructions. The hypothesis of this study was that area and position of the transseptal portal are different between ACL and PCL reconstructions for the observation of native footprint. A matched-pair comparison study was conducted on the arthroscopic images of 100 consecutive patients who underwent ACL reconstruction and 50 consecutive patients who underwent PCL reconstruction. The transseptum was divided into six compartments. The opened compartments for each surgery were then evaluated to find which anatomical structures are well seen. The anterior middle and upper parts were necessary for the ACL reconstruction, whereas middle and lower portions of the anterior and posterior compartments were necessary for the PCL reconstruction. A larger opening was necessary for PCL reconstruction than that for ACL reconstruction. The ACL posterior one-third, ACL femoral attachment, and apex of the deep cartilage margin (DCM) were viewed in 100% of the patients during ACL reconstruction. The PCL posterior one-third, PCL tibial attachment, PCL fovea margin, and medial meniscus around posterior margin were always viewed during PCL reconstruction. The anterior part of the septum, from the middle to the upper portions of the transseptum, was necessary to be opened for visualization of the femoral footprint and DCM of the lateral femoral condyle during ACL reconstruction. The anterior and posterior parts of the septum, from the middle to the lower portions of the transseptum, were necessary for excellent visualization of the PCL tibial footprint during PCL reconstruction. These paths of the transseptal portal for each surgery will help surgeons obtain both anatomic footprint restoration and maximal remnant preservation through the most suitable and safe means. This is a case–control study; level of evidence is 3.

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“…Various applications of the posterior transseptal portal have been proposed including total arthroscopic synovectomy of the posterior compartment, removal of loose bodies or tumors behind the PCL, suture fi xation of an avulsion of the PCL from the tibia, reconstruction of the PCL, and repair of the posterior horn or root of the medial meniscus. Th e popliteal artery, the most anterior structure of the popliteal neurovascular bundle, is clearly at risk during establishment of the trans-septal portal 15,16,[32][33][34][35] . To date, no cases of popliteal artery injury during creation of the trans-septal portal have been reported, to our knowledge.…”

Section: A C Bmentioning

confidence: 99%

Ganglion Cyst of the Knee: A Retrospective Review of a Consecutive Case Series

Bojanić

Dimnjaković

Smoljanović

2017

ACC

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The aim of this study was to describe relevant medical history, clinical symptoms and outcomes in 12 patients having undergone surgical treatment of intra-articular ganglion cysts of the knee at our Department from January 2010 to June 2016. Patient demographics, medical history, knee manifestations, management and outcome were evaluated. The mean patient age was 26.4 (range, 16-46) years. Th ere were seven female and five male patients. Duration of symptoms prior to the operation varied from 2 months to 3 years (mean, 17.1 months). All patients had preoperative magnetic resonance imaging work-up of the knee. Pain was the most common clinical presentation. All patients were surgically treated arthroscopically, and an additional open approach was used in only one of the patients. There were no complications during surgery and the postoperative period was uneventful in all patients. The mean follow up period was 43.5 (range, 9-83) months and no recurrence was observed. All patients remained symptom-free with full range of motion at final follow up. Despite a wide range of intra-articular ganglion cyst presentations and symptoms, our cohort demonstrated an excellent remission rate and functional prognosis following surgical treatment of the ganglion cysts of the knee.

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Arthroscopic excision of the ganglion in the posterior septum by posterior trans-septal portal: report of two cases

Cited by 10 publications

References 22 publications

Arthroscopic treatment of a medial meniscal cyst using a posterior trans-septal approach: a case report

Arthroscopic treatment of a medial meniscal cyst using a posterior trans-septal approach: a case report

Different Strategies in Making Transseptal Portal for the Different Purposes

Ganglion Cyst of the Knee: A Retrospective Review of a Consecutive Case Series

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