Diagnosis and surgical treatment of patients with femoral vein compression from hip joint synovial cyst

Giant Hip Synovial Cyst Causing Deep Vein Thrombosis and Femoral Head Osteonecrosis in a Rheumatoid Arthritis Patient

“…In two of them there was DVT (13.3%) while all of them presented with unilateral leg oedema. 11 As stated by Angelini et al degenerative joint diseases like osteoarthritis, rheumatoid arthritis and trauma are amongst the most common causes of synovial hip cysts. 12 Other less common causes are developmental aplasia, labral tear, rapidly destructive arthrosis of the hip, juvenile idiopathic arthritis, polymyalgia rheumatica and hip arthroplasty.…”

“…As far as the treatment of the cyst is concerned, total hip arthroplasty has been chosen in most cases in literature. 11 , 13 However, aspiration and drainage under ultrasound or CT guidance remains an option despite the higher chances of regression. 11 It has previously been reported that if the primary disease is RA, effective treatment may reduce the size of the cyst.…”

Dual culprit for a swollen leg: Femoral vein compression caused by lymphadenopathy and a synovial cyst

“…In contrast, only 1 of the 19 patients (5%) who had undergone surgical resection had developed recurrent symptoms. In the largest single-institutional cohort by Ye et al 7 of 15 patients, none of the 14 patients who had undergone surgical resection had developed a recurrence. In contrast, the patient who had undergone needle aspiration had experienced recurrence after 1 month.…”

“…In the largest single-institutional cohort by Ye and colleagues (15 patients), 0 of 14 patients with surgical resection had a recurrence, while the other patient who underwent needle aspiration had a recurrence after one month. [7] Therefore, surgical excision is considered the first choice of treatment when a synovial cyst results in symptoms attributed to venous compression.…”

“…In contrast, the patient who had undergone needle aspiration had experienced recurrence after 1 month. 7 Therefore, surgical excision should be considered the first choice of treatment when a synovial cyst results in symptoms attributed to venous compression.…”