Large Intra-Articular Anterior Cruciate Ligament Ganglion Cyst, Presenting with Inability to Flex the Knee

Sloane, Jake; Gulati, Vivek; Penna, Sreeram; Pastides, Philip; Baghla, Davinder Paul Singh

doi:10.1155/2010/705919

Cited by 14 publications

(10 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A ganglion cyst is a synovium-lined structure and is common around the wrist joint, but it is rare in the knee joint. A ganglion cyst in the knee joint often arises from ACL or PCL [ 5 ], but rarely arises from the infrapatellar fat pad. Sugiura et al reported the ganglion cyst arising from the infrapatellar fat pad of 10-year-old boy [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…reported the case of 41-year-old female who presented with a gradually worsening anterior knee pain, swelling and inability to flex the knee. MRI revealed a large intra-articular cystic swelling anterior to ACL, extending into the infrapatellar fat pad [ 5 ]. In a study by Krudwig et al [ 7 ], 76 cases of ganglion cysts were found in 8000 knee arthroscopic examinations.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Case of Infrapatellar Fat Pad Ganglion of the Knee

Takahashi

Kimura

Ohsawa

et al. 2017

TOORTHJ

View full text Add to dashboard Cite

Introduction:A ganglion cyst can induce symptoms around the knee and should be considered as an intra-articular mass in differential diagnosis.Case Presentation:A 22-year-old female presented with a persistent medial knee joint pain in her left knee for 2 years. There was soft tissue swelling on the anteromedial aspect of the infrapatellar region on her left knee. Lachman and McMurray tests were negative. MRI showed a multilobular cyst in the infrapatellar fat pad with T1 low intensity and T2 STIR high intensity. The cyst was not attached to either meniscus. ACL and PCL looked normal.During surgery, the cyst was found to arise from the intra-patellar fat pad and was not attached to the menisci or synovium. The cyst was completely resected.Histological findings showed a multilobular cyst with a glassy fibrous tissue wall and clear jelly-like consistency, confirming the diagnosis of a ganglion. The patient recovered asymptomatically and has been without recurrence 7 years postoperatively.Conclusion:Differential diagnoses of an infrapatellar swelling are a meniscal cyst, synovial cyst, or ganglion. Most cases of cysts around the knee generate from fluid collection through meniscal tears. A ganglion cyst is a synovium-lined structure and is common around the wrist joint, but rare in the knee joint. A ganglion cyst in the knee joint often arises from ACL or PCL, but rarely arises from the infrapatellar fat pad. A ganglion cyst is one of the differential diagnoses of parameniscal cysts around the knee. We recommended an open resection with arthroscopic examination.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Case of Infrapatellar Fat Pad Ganglion of the Knee

Takahashi

Kimura

Ohsawa

et al. 2017

TOORTHJ

View full text Add to dashboard Cite

show abstract

“…Mechanical locking, clicking sensation, and stiffness also occur frequently. A ganglion cyst that is located anteriorly at the tibial attachment results in extension block while those located posteriorly produce flexion block [ 19 - 20 ]. Usually, there is no history of knee instability.…”

Section: Reviewmentioning

confidence: 99%

Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration: A Review

Vaishya

Issa

Agarwal

et al. 2017

Cureus

View full text Add to dashboard Cite

Mucoid degeneration and ganglion cyst are two distinct non-traumatic lesions of the anterior cruciate ligament (ACL) that most commonly occur discretely but occasionally coexist. They are relatively uncommon, and their exact aetiopathogenesis is still not clear. ACL ganglion cyst occurs more frequently among relatively younger patients compared to mucoid degeneration. They could be asymptomatic and discovered incidentally while evaluating the knee for other pathologies. Symptomatic cases of the two conditions present with nonspecific chronic pain, painful limitation of terminal flexion and extension, and mechanical block (among other symptoms), similar to that of other internal derangement pathologies of the knee. Magnetic resonance imaging is the investigation of choice, and diagnostic criteria are defined. Arthroscopic management of these conditions efficiently provides an improvement in symptoms without instability. Computed tomography scan guided aspiration is also useful in selected cases of ACL ganglion cyst. ACL ganglion cyst and mucoid degeneration should be considered in the differential diagnosis of chronic knee pain and stiffness of unspecified etiology.

show abstract

“…In our practice, in addition to the easily accessible wrist ganglia, we commonly use USG guidance for the aspiration/fenestration and injection of ganglions associated with the cruciate ligaments[ 111 112 ] and meniscal cysts[ 113 ] with good symptomatic relief. Persistent pain from iliotibial band friction syndrome also responds to local injection therapy.…”

Section: Interventions In Bursae and Gangliamentioning

confidence: 99%

Perspectives in ultrasound-guided musculoskeletal interventions

Daftary¹,

Karnik²

2015

Indian Journal of Radiology and Imaging

View full text Add to dashboard Cite

Ultrasonography (USG) is a safe, easily available, and cost-effective modality, which has the additional advantage of being real time for imaging and image-guided interventions of the musculoskeletal system. Musculoskeletal interventions are gaining popularity in sports and rehabilitation for rapid healing of muscle and tendon injuries in professional athletes, healing of chronic tendinopathies, aspiration of joint effusions, periarticular bursae and ganglia, and perineural injections in acute and chronic pain syndromes. This article aims to provide an overview of the spectrum of musculoskeletal interventions that can be done under USG guidance both for diagnostic and therapeutic purposes.

show abstract

Large Intra-Articular Anterior Cruciate Ligament Ganglion Cyst, Presenting with Inability to Flex the Knee

Cited by 14 publications

References 20 publications

A Case of Infrapatellar Fat Pad Ganglion of the Knee

A Case of Infrapatellar Fat Pad Ganglion of the Knee

Anterior Cruciate Ligament Ganglion Cyst and Mucoid Degeneration: A Review

Perspectives in ultrasound-guided musculoskeletal interventions

Contact Info

Product

Resources

About