Ultrasound-guided aspiration of posterior cruciate ligament ganglion cysts

DeFriend, Diane; Schranz, Peter; Silver, David

doi:10.1007/s002560100374

Cited by 56 publications

(44 citation statements)

References 10 publications

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“…Advantages of this outpatient procedure would have included quicker recovery time and decreased invasiveness (8). However, the risk of recurrence is high (15)(16)(17) and it may be technically difficult in our case as the majority of the cyst was located posteriorly and part of it was interspersed in the ACL fibres.…”

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confidence: 93%

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Anterior cruciate ligament ganglion causing flexion restriction: a case report and review of literature

Sayampanathan

Koh

Lee³

2016

Ann. Transl. Med.

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Ganglion cysts originating from the anterior cruciate ligament (ACL) are uncommon. Often asymptomatic, they infrequently present with non-specific symptoms such as knee pain, stiffness, clicks, locking or restriction of knee extension. However, the patient we report presented with knee flexion restriction. A 37-year-old Chinese gentleman, with no history of knee trauma, presented with left knee pain. Left knee range of motion (ROM) was from 0 to 110 degrees. Magnetic resonance imaging (MRI) scan revealed a 1.5 cm × 3.3 cm × 1.7 cm cyst located in the intercondylar region arising from the ACL and extending predominantly posteriorly.Arthroscopy confirmed an intrasubstance ACL ganglion cyst, which was extending posteriorly. Complete excision of the cyst was performed. At 1-year follow-up, the patient regained knee flexion of 130 degrees. We describe one of the largest ACL ganglion cysts. Such cysts often extend anteriorly and impinge onto the roof of the intercondylar notch during knee extension, thus restricting extension. The restriction in knee motion in our patient was in flexion instead; this was because the cyst took an unusual course of extension predominantly in the posterior direction. Although rare, it must be included as a possible differential diagnosis when patients present with such knee symptoms.

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confidence: 93%

“…Although such a procedure necessitates hospitalisation and general anaesthesia, it has a low recurrence rate (15). A viable alternative would have been computed tomography (CT) or ultrasound-guided percutaneous aspiration.…”

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confidence: 99%

Anterior cruciate ligament ganglion causing flexion restriction: a case report and review of literature

Sayampanathan

Koh

Lee³

2016

Ann. Transl. Med.

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“…They often originate from articular joints of the wrist, whereas they are relatively rare within the knee joint [3]. When symptomatic, ganglion cyst of the knee revealed themselves with pain, effusion, joint tenderness and limited knee flexion and extension [2].…”

Section: Introductionmentioning

confidence: 99%

“…Magnetic resonance imaging (MRI) is up to now considered the main technique in detecting and localizing the ganglion cyst before therapeutic approach [1], still represented by open surgery or arthroscopic excision [3].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided aspiration and steroid injection of a posterior cruciate ligament ganglion cyst: report of a case

et al. 2014

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Ganglion cysts are benign masses that originate from mucinous degeneration of the connective tissues and are quite rare when arising from the knee joint. Symptoms are often represented by pain, joint tenderness, effusion and occasional swelling with a palpable mass in the popliteal region of the knee. Percutaneous aspiration followed by a corticosteroid injection of a ganglion cyst has either a diagnostic or therapeutic meaning and its guidance through ultrasound allows the operator to make more accurate the procedure, ensuring the correct placement of the needle inside the lesion. We report our experience in the treatment of a voluminous ganglion cyst of the posterior cruciate ligament performed through the ultrasound guidance in a symptomatic young patient.Keywords Ultrasound guidance Á Ganglion cyst Á Posterior cruciate ligament Á Steroid injection Á Knee pain Abstract Le cisti gangliari sono formazioni benigne che derivano dalla degenerazione mucinosa del tessuto connettivo ed il loro sviluppo all'interno della caività articolare del ginocchio è relativamente rara.Esse si manifestano con dolore, versamento articolare, nonché occasionalmente con gonfiore e sottoforma di una massa palpabile a livello della regione poplitea.La loro aspirazione percutanea, eventualmente seguita da un'iniezione di corticosteroide, ha una valenza sia diagnostica che terapeutica e l'ausilio della guida ecografica permette all'operatore di rendere la procedura la più accurata possibile, assicurando il corretto posizionamento dell'ago all'interno della lesione.Vogliamo riportare la nostra esperienza nel trattamento percutaneo tramite guida ecografica di una voluminosa cisti gangliare del legamento crociato posteriore in una giovane paziente sintomatica.

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“…Among musculoskeletal applications, there may be distinct advantages of ultrasound as an imageguidance tool. Firstly, ultrasound-guided aspiration has been identified as an effective method for treating both ganglionic and synovial cysts [40][41][42][43] . Given the evidence to support ultrasound as a diagnostic tool and the ease, cost, and lack of ionizing radiation exposure, the use of ultrasound-guidance in aspiration of these fluid collections should be considered as first-line therapy.…”

Section: Fluid Collection Aspiration and Drainage Catheter Insertionmentioning

confidence: 99%

Ultrasound-assisted musculoskeletal procedures: A practical overview of current literature

Royall¹

2011

WJO

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Traditionally performed by a small group of highly trained specialists, bedside sonographic procedures involving the musculoskeletal system are often delayed despite the critical need for timely diagnosis and treatment. Due to this limitation, a need evolved for more portability and accessibility to allow performance of emergent musculoskeletal procedures by adequately trained non-radiology personnel. The emergence of ultrasound-assisted bedside techniques and increased availability of portable sonography provided such an opportunity in select clinical scenarios. This review summarizes the current literature describing common ultrasound-based musculoskeletal procedures. In-depth discussion of each ultrasound procedure including pertinent technical details, indications and contraindications is provided. Despite the limited amount of prospective, randomized data in this area, a substantial body of observational and retrospective evidence suggests potential benefits from the use of musculoskeletal bedside sonography.

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Ultrasound-guided aspiration of posterior cruciate ligament ganglion cysts

Cited by 56 publications

References 10 publications

Anterior cruciate ligament ganglion causing flexion restriction: a case report and review of literature

Anterior cruciate ligament ganglion causing flexion restriction: a case report and review of literature

Ultrasound-guided aspiration and steroid injection of a posterior cruciate ligament ganglion cyst: report of a case

Ultrasound-assisted musculoskeletal procedures: A practical overview of current literature

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