A ganglion of the superior tibiofibular joint as a mucoid-cystic degeneration of unusual localization

Kelm, Jens M.; Ames, M; P, Weissenbach; Engel, Caroline

doi:10.1007/s001670050073

Cited by 14 publications

(6 citation statements)

References 15 publications

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“…Ultrasonography is excellent for detecting fluidfilled structures, but it may lack in benign-malignant differentiation and detecting the communication between the ganglion and the joint. Ultrasonography may be helpful for follow-up after treatment [8]. In both our cases magnetic resonance imaging was able to detect the stalk connection with the joint, which was confirmed during the surgical procedure.…”

supporting

confidence: 66%

A Synovial Ganglion of the Knee: Two Cases in Athletes

Dragoni¹,

Giombini²,

Cesare³

et al. 2008

Int J Sports Med

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The objective of the study is to describe two cases of proximal tibiofibular ganglion cysts in high level athletes. In May 2003 and March 2005 two athletes (one tennis player in the top eighty of the Italian national ranking and a gymnast belonging to the Italian rhythmic gymnastics national team) were referred to our institution complaining of postero-lateral knee discomfort and the presence of localized swelling over the fibular head and the antero-lateral aspect of the leg, with a clinically suspected diagnosis of ganglion cyst of the proximal tibiofibular joint. Ultrasonography clearly detected the fluid-filled structures while magnetic resonance imaging confirmed the diagnosis, also showing precisely the anatomic relationship between the ganglions and the surrounding structures. Both athletes underwent surgical excision and the histological examination was compatible with a proximal tibiofibular joint ganglion cyst; as yet they have had no recurrence.

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supporting

confidence: 66%

A Synovial Ganglion of the Knee: Two Cases in Athletes

Dragoni¹,

Giombini²,

Cesare³

et al. 2008

Int J Sports Med

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“…Indications for operative intervention are to obtain a definite diagnosis and to decompress the nerve in the presence of neurological manifestations [3]. Surgical excision should be as complete as possible and the stalk connecting the cyst to the joint should be looked for and cut to avoid recurrence [9, 11, 15, 17].…”

Section: Discussionmentioning

confidence: 99%

Proximal tibiofibular joint synovial cyst—one pathology with three different presentations

Mortazavi

Farzan

Asadollahi

2005

Knee Surg Sports Traumatol Arthr

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Synovial cysts of the proximal tibiofibular joint are less common than synovial cysts of the knee joint but may present in a similar fashion and may be difficult to diagnose clinically. We report three cases of such synovial cysts: (1) the synovial cyst presented as an asymptomatic lump distal to lateral joint line of the knee; (2) the synovial cyst presented as a mass fluctuating in size with intermittent symptoms; (3) a man with a large mass in proximal anterior leg and drop foot. The patients were operated. The first and the third patients were treated successfully without recurrence, and complete recovery of the proneal nerve in third case ensued. The synovial cyst recurred in the second case; however, the patient refused a second operation. Age distribution and clinical manifestation of extraneural proximal tibiofibular joint synovial cyst is discussed in the light of relevant literature.

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“…Second, not all ganglia affecting the nerve are intraneural ganglia. Extraneural ganglia 6,11,13,16,19,20,24,27,28,41,55,57,67,69,70,73,74,80,81,89,95,102,104,105,108,110,119,121,122,124,141,152,153,187,188,192,194,204 frequently adhere to surrounding structures and can extrinsically compress the nerve by their proximity or size; 69,70,73,141 therefore, they may be easily confused with intraneural ganglia. Indeed, both of these lesions are represented in earlier reports of ganglia that affect the nerve.…”

mentioning

confidence: 97%

Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory

Spinner¹,

Atkinson²,

Tiel³

2003

Journal of Neurosurgery

248

222

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The predictable clinical presentation, electrical studies, imaging characteristics, operative observations, and histological findings regarding peroneal intraneural ganglia can be understood in terms of their origin from the superior tibiofibular joint, the anatomy of the articular branch, and the internal topography of the peroneal nerve that the cyst invades. Understanding the controversial pathogenesis of these cysts will enable surgeons to perform operations based on the pathoanatomy of the articular branch of the CPN and the superior tibiofibular joint, which will ultimately improve clinical results.

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A ganglion of the superior tibiofibular joint as a mucoid-cystic degeneration of unusual localization

Cited by 14 publications

References 15 publications

A Synovial Ganglion of the Knee: Two Cases in Athletes

A Synovial Ganglion of the Knee: Two Cases in Athletes

Proximal tibiofibular joint synovial cyst—one pathology with three different presentations

Peroneal intraneural ganglia: the importance of the articular branch. A unifying theory

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