Ganglion cysts of the anterior cruciate ligament: a series of 15 cases.
نویسندگان
چکیده
PURPOSE To increase awareness of the presence of ganglion cysts of the anterior cruciate ligament and to consider this diagnosis in any knee that has lost range of motion (ROM) in the absence of osteoarthritis. TYPE OF STUDY Case series. METHODS We present a series of 15 cases recorded over a period of 5 years illustrating the clinical presentation and additional pathology seen at arthroscopy. International Knee Documentation Committee scores were calculated at the recent follow-up to establish outcome of the surgery. RESULTS The cysts occurred predominantly in men with the most common presenting complaint being decreased ROM and pain. Overall, results were excellent with no recurrence of symptoms at a mean 36-month follow-up, but outcome does appear to be associated with other pathology present. ROM was improved with arthroscopic excision of the cyst in all cases that were impaired. CONCLUSIONS Although rare, ganglion cysts related to the cruciate ligaments of the knee should be considered in the differential diagnosis of a painful knee especially when associated with a decreased ROM and no evidence of osteoarthritis on radiographs. Other pathology can often be present, which may affect the overall outcome, but arthroscopic debridement of the ganglion cyst should be considered the treatment of choice in order to reliably restore active ROM. LEVEL OF EVIDENCE Level IV, Case Series.
منابع مشابه
Ganglion Cyst of the Anterior Cruciate Ligament
We present the case of a 55-year-old woman with a presumed ganglion cyst associated with the anterior cruciate ligament (ACL), demonstrated by MRI. The ACL is an uncommon location for ganglion cysts to occur.
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Painful patellar partita complicated with intraarticular ganglion cysts arising from the cruciate ligament is difficult to diagnose from the symptoms alone. In the patient reported here, knee pain was caused by patellar partita and by cysts attached anteriorly to the posterior cruciate ligament (PCL). The fragment of the bipartite patella was excised, and the cysts were resected arthroscopicall...
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عنوان ژورنال:
- Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
دوره 21 4 شماره
صفحات -
تاریخ انتشار 2005