2002, Number 2
<< Back Next >>
Acta Ortop Mex 2002; 16 (2)
Synovial ganglion in the cruciate ligaments of the knee. A report of three cases and literature review
Espinosa VA, Fernández FM, Villalobos GE, Liberato GI, León GV
Language: Spanish
References: 15
Page: 90-95
PDF size: 145.19 Kb.
ABSTRACT
Objective. The communication of three patients who had a ganglion in the cruciate ligaments of the knee is the purpose of this review, since such a localization for a synovial cyst is rather uncommon. Material and methods. Present series includes three male cases of a ganglion in the cruciate ligaments, which can be justified as a small series, in regard to their low frequence in those structures. Patients’ age were 28, 38 and 51 years. Clinical picture consisted on pain, pseudo-blocking, heavyness sensation and false movements of the knee. However, capsular and ligament stability was present in all cases and meniscal examination was otherwise normal. MRI demonstrated the presence of a ganglion in the anterior cruciate ligament in 2 cases and one in the posterior cruciate ligament. Treatment consisted in evacuation and shaving resection by arthroscopy in all three cases with no complications. Results. After a follow-up of 24 months, patients were free of symptoms as all of them were spending complete normal daily and sports activities. Conclusion. MRI is considered an obligated diagnostic procedure when a poorly defined painful clinical picture in the knee is present. Population frequency and ethiology of synovial cysts in cruciate ligaments of the knee still require further investigation.
REFERENCES
Brown MF, Dandy DJ. Intra-articular ganglia in the knee. J Arthroscopy Rel Surg 1990; 6: 322-3.
Burk DL Jr, Dalinka MK, Kanal E, et al. Meniscal and ganglion cysts of the knee: MR evaluation. Am J Res 1988; 150: 331-6.
Deutsch A, Veltri DM, Altcheck DW, Potter HG, Warren RF, Wickiewicz TL. Symptomatic intra-articular ganglion of the cruciate ligaments of the knee. Arthroscopy 1994; 10: 219-23.
Do-Dai D, Youngberg R, et al. Intraligamentous ganglion cysts of the anterior cruciate ligament: MR findings with clinical and arthroscopic correlations. Journal of computer assisted tomography 1996; 20(1): 80-4.
Jerome D, McKendry R. Synovial cyst of the proximal tibiofibular. J Rheumatol 2000; 27: 14.
Johnson W, Corzatt R. Ganglion cyst of the anterior cruciate ligament. A case report of an unusual cause of mechanical knee symptoms. Am J Sport Med ;21(6): 893-94.
Kumar A, Bickerstaff DR, et al. Mucoid cystic degeneration of the cruciate ligament: The Journal JBJS 1999; 81B(2): 304-5.
Lee KR, Cox GGF, Neff JR, Arnet GR, Murphey MD. Cystic masses of the knee: arthrographic and CT evaluation. Am J Res 1987; 148: 329-34.
Lee RK, Cox GC, Neff JR, Gwen RH, Murphy MD. Cystic masses of knee: Arthrographic and CT evaluation. Am J Radiology 1948; 148: 329.
Lektrakul N, Skaf A, et al. Pericruciate meniscal cyst arising from tears of the posterior horn of the medial meniscus: MR imaging features that stimulate posterior cruciate ganglion cysts. Am J Roentgen 1999; 172: 1575-9.
Malghem J, Vande berg B, et al. Ganglion cysts of knee: Articular communication revealed by delayed radiography and CT after arthrography. AJR 1998; 170: 1579-83.
Nam Kang Ch, Wook Kim D, et al. Intra-articular ganglion cyst of the knee. Arthroscopy 1999; 15(4): 373-8.
Schwimmer M, Edelstein G, Heiken JP, Gilula LA. Synovial cysts of the knee: CT evaluation. Radiology 1985; 154: 175-7.
Siebert CH, Kaufmann A. The quadriceps tendon cyst: an uncommon cause of chronic anterior knee pain. Knee Surg, Sports Traumatol. Arthroscopy 1999; 7: 349-51.
Sundaram M, McGuire MH, Fletcher J, Wolverson MK, Heiberg E, Shields JB. Magnetic resonance imaging of lessions of synovial origin. Skeletal Radiology 1986; 15: 110-6.