Ganglion cyst of the posterior cruciate ligament

Ahmed, Farid; Ibrahim, Samir Abdul Razik; Soliman, A; Khirat, S

doi:10.1136/bcr.09.2009.2263

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…The reason is that the cystic wall will persist and it may recur as the aspirating hole acts as a one-way valve and the synovium continues secreting mucus after paracentesis. While arthroscopy could excise the cyst completely and manage other lesions at the same time, the recurrence is rare after a complete excision [ 7 , 9 , 16 , 24 ]. In the present study, all cases were performed the arthroscopic excision of the PCL cysts, and no recurrence was observed on postoperative MRI images at final follow-up.…”

Section: Discussionmentioning

confidence: 99%

Clinical manifestation and arthroscopic treatment of symptomatic posterior cruciate ligament cyst

Tie¹,

Wang²,

Zhao³

et al. 2018

J Orthop Surg Res

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BackgroundGanglion cyst of cruciate ligaments is a rare lesion; the prevalence is 0.3–0.8%. The purpose of this study was to present clinical features of symptomatic posterior cruciate ligament (PCL) cyst, introduce the arthroscopic excision technique, and evaluate the clinical outcome.MethodsA series of 11 patients with symptomatic PCL cyst from November 2012 to December 2014 were involved in this retrospective study. Detailed medical history collecting and physical examination were conducted. Magnetic resonance imaging (MRI) scan was used to confirm the diagnosis. Arthroscopic resection was performed, and the sample of the cyst was taken for pathologic examination. The follow-up averaged 30.7 months. International Knee Documentation Committee (IKDC) score, the range of motion (ROM), and MRI evaluations were obtained pre- and postoperatively to assess the surgical outcome. SPSS software was used for statistics analysis.ResultsEight males and 3 females with 6 left knees and 5 right knees were enrolled, the mean age was 34.4 years, and the duration of symptom was 19.0 months. All cases had a definite history of knee trauma or injury. The most common symptom was knee pain at flexion or in flexion-associated activities. MRI revealed the location and size of the cyst in each case. Pathologic examination showed the cyst wall was composed of dense fibroconnective tissue and widespread thick bundles of collagen, which is similar to the structure of ganglion cyst. At the final follow-up, MRI evaluation showed no cyst recurrence. The preoperative ROM and IKDC score were 2.3° to 108.6° and 40.5 ± 11.3, respectively, compared with the postoperative ROM and IKDC score which were 0° to 134.1° and 85.5 ± 4.8 (p < 0.05) separately.ConclusionsWe conclude that the etiology of symptomatic PCL cyst is most likely associated with trauma, pain on flexion is a typical manifestation of symptomatic PCL cyst, MRI evaluation is an ideal examination for the diagnosis, and arthroscopic resection of symptomatic PCL cysts has a good outcome with no recurrence.Electronic supplementary materialThe online version of this article (10.1186/s13018-018-0798-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Clinical manifestation and arthroscopic treatment of symptomatic posterior cruciate ligament cyst

Tie¹,

Wang²,

Zhao³

et al. 2018

J Orthop Surg Res

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“…To the best of our knowledge, only one case of pediatric ganglion cyst of the PCL has been reported in the literature [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Treatment of a Symptomatic Posterior Cruciate Ganglion Cyst in a Child with Autism

Andreozzi

Monaco

Conteduca

et al. 2019

Case Reports in Orthopedics

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Introduction. Intra-articular ganglion cysts of the knee joint are rare and mostly incidental findings in magnetic resonance imaging (MRI) or arthroscopy. Posterior cruciate ligament (PCL) ganglion cyst in a child is an extremely rare finding, and to the best of our knowledge, only one case has been described in the literature. We report a case of a large intra-articular ganglion cyst of the knee arising from the PCL in an autistic child. Case Presentation. An 8-year-old Caucasian boy affected by autism presented with nontraumatic knee pain. His parents, observing child’s gait, reported recurrent limp while walking, sometimes accompanied by knee locking. Clinical examination was hindered by the noncompliance of the patient and revealed painful limitation of terminal flexion and extension. MRI scans showed a large ganglion cyst located in the intercondylar notch. Arthroscopy confirmed an intrasubstance PCL ganglion cyst, extending both anteriorly and posteriorly. Complete excision of the cyst was performed, with full recovery of the child and no recurrence. Conclusion. In pediatric patients with pain or limited knee range of motion, physicians should consider the possibility of a ganglion cyst arising from the PCL, despite its rarity. Arthroscopic excision is a safe and effective procedure that guarantees a complete recovery of the patient with the lowest rate of recurrence.

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“…Since Caan first reported, in a 1924 autopsy, a ganglion cyst on the anterior cruciate ligament [ 1 ], more and more ganglion cysts around the knee have been reported [ 2 - 4 ], the common sites of cysticlesions of knee joint is the ACL followed by PCL, and then menisci, especially medial meniscus; other rare sites are infrapatellar pad of fat, medial plica and popliteus tendon [ 5 ]. A ganglion cyst is often defined as a cyst swelling that is formed of myxiod matrix, which can lead to cystic lesions associated with a joint or tendon sheath [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

An Intra-tendonous ganglion cyst causing impingement between the anterior cruciate ligament and anterior root of the medial meniscus: a case report

Mei¹,

Gao²,

Hu³

2013

BMC Sports Sci Med Rehabil

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BackgroundThere are several reports of symptomatic ganglion cysts near the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), and lateral and medial meniscus, but symptomatic ganglia arising from the anterior horn of the medial meniscus to the ACL have not been reported. Here we report the arthroscopic resection of a ganglion cyst arising from the anterior horn of the medial meniscus with a meniscal tear to the ACL.Case presentationA 43-year-old female presented with a 10-year history of continuous aching pain in the right knee, but without any history of trauma. Clinical examination revealed right-sided knee pain in the medial joint line, exacerbated by end range flexion and extension, a −10°-100° active range of movement, and a −5°-110° passive range of movement。McMurray’s, patellar compression, and compression rotation tests were positive. Magnetic resonance imaging (MRI) and arthroscopic examination revealed a cyst related to the ACL and medial meniscus. Histological examination confirmed the cyst to be a ganglion cyst.ConclusionsWe present a new type of ganglion cyst, this is the first reported case of an ganglion cyst impinged between the ACL and the medial meniscus. It is hoped that this study will provide a better understanding of the condition and lead to better diagnosis and treatment.

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Ganglion cyst of the posterior cruciate ligament

Cited by 5 publications

References 15 publications

Clinical manifestation and arthroscopic treatment of symptomatic posterior cruciate ligament cyst

Clinical manifestation and arthroscopic treatment of symptomatic posterior cruciate ligament cyst

Diagnosis and Treatment of a Symptomatic Posterior Cruciate Ganglion Cyst in a Child with Autism

An Intra-tendonous ganglion cyst causing impingement between the anterior cruciate ligament and anterior root of the medial meniscus: a case report

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