Symptomatic Posterior Cruciate Ganglion Cyst Causing Impingement between Posterior Root of the Medial Meniscus and Anterior to the Posterior Cruciate Ligament

Joo, Yong Bum; Kim, Young Mo

doi:10.5792/ksrr.2012.24.1.52

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…Literatures showed that the changes in the length and torsion of PCL induced by knee flexion might cause traction or compression on cysts, which may stimulate the nerve endings on synovium and result in limited ROM secondary to pain and abnormal sensation [ 1 , 2 , 12 , 13 ]. Previous studies reported that the clinical manifestations of symptomatic PCL cyst might include arthralgia, joint swelling and effusion, and restricted ROM induced by pain [ 1 – 4 , 6 – 8 , 12 , 14 – 17 ]. Our results are similar to the above reports.…”

Section: Discussionmentioning

confidence: 99%

“…The lesion is commonly seen in people aged 20–40 years old and involves more males than females [ 1 – 3 ]. Compared with anterior cruciate ligament (ACL) cyst, posterior cruciate ligament (PCL) cyst is relatively seldom seen [ 3 , 4 ]. Since not all PCL cysts are symptomatic, the reports of PCL cysts were hardly found until the wide utilization of MRI and arthroscopy two decades ago [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Since not all PCL cysts are symptomatic, the reports of PCL cysts were hardly found until the wide utilization of MRI and arthroscopy two decades ago [ 5 ]. Most PCL cysts were incidentally detected by MRI or arthroscopy done for other knee lesions [ 2 , 3 , 6 – 8 ] in that symptomatic PCL cyst causing knee discomfort and restricted movements were exceedingly rare [ 4 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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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“…Ganglion cysts (GC) arising from the cruciate ligaments are rare, with a reported prevalence of 0.36% when detected by MRI and 0.8% by knee arthroscopy [ 2 ]. Posterior cruciate ligament (PCL) ganglion cysts occur less frequently than those arising from the anterior cruciate ligament (ACL) [ 3 , 4 ]. Krudwig et al, in a study conducted on over 8000 knee arthroscopies in a 15-year period, reported a prevalence of ganglion cysts originating from the ACL more than three times higher than the PCL ones [ 3 ].…”

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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“…Not all PCL cysts are symptomatic; however, in a few cases, they may be clinically relevant, causing knee pain and limiting flexion. [1][2][3] Most PCL cysts are found fortuitously by ultrasound, magnetic resonance imaging (MRI), or arthroscopy performed for other pathologies of the knee. [3][4][5][6][7] Initial treatment with medication and corticosteroid injections resolves most cases.…”

mentioning

confidence: 99%

Excision of a Posterior Cruciate Ligament Cyst Using an Arthroscopic Trans-septal Approach

Abreu

Pioger

et al. 2020

Arthroscopy Techniques

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Posterior cruciate ligament (PCL) cysts are rare. Although they are usually asymptomatic and benign, in a few cases they may cause knee discomfort and restricted movements. Nonsurgical treatment is the initial approach, with medication and corticosteroid injections. However, there may be treatment failures, with some cysts needing to be excised surgically. Arthroscopic excision of PCL cysts located in the posterior compartment of the knee can be technically challenging. We describe the arthroscopic excision of a PCL cyst using a trans-septal portal, which is an easy and safe method for accessing and completely removing the lesion under direct vision.

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Symptomatic Posterior Cruciate Ganglion Cyst Causing Impingement between Posterior Root of the Medial Meniscus and Anterior to the Posterior Cruciate Ligament

Cited by 9 publications

References 8 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

Excision of a Posterior Cruciate Ligament Cyst Using an Arthroscopic Trans-septal Approach

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