Adventitial Cyst of the Radial Artery With a Wrist Joint Connection

Wang, Huan; Spinner, Robert J.; Amrami, Kimberly K.

doi:10.1016/j.jhsa.2006.10.001

Cited by 18 publications

(9 citation statements)

References 18 publications

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“…This fact was important for postulating the first three theories. Moreover, the developmental and ganglionic concepts presume a joint-related origin of adventitial cysts and are supported by other findings: A communication between adventitial cyst(s) and an adjacent joint capsule was observed during surgery by some authors 5,8,11,22,[31][32][33][34] .The preoperative revelation of such a communication is also possible. A case of arthroscopic detection 35 and cases of MRA detection 31,36 have been documented.…”

Section: Etiology Of Cadsupporting

confidence: 56%

“…Other such cases involving remission during follow-up were also reported 81 , even after 10 years recurrence was excluded in a symptom-free patient, so the authors called this case a spontaneous and permanent CAD resolution 72 . The possible mechanisms of spontaneous cyst resolution may include cyst rupture 16,59 or drainage into the joint space, which is supported by the arthroscopic 35 , intraoperative 5,8,11,22,[31][32][33]41 or MRA (ref. 32,37 ) findings of a direct communication between the popliteal artery adventitial cyst and the knee joint.…”

Section: Treatment Of Cadmentioning

confidence: 97%

“…Direct communication between the cyst and the knee joint is often demonstrated 64 , so temporary or even permanent relief from the symptoms can be explained by the drainage of the cyst content into the adjacent joint. Rupture is another possible mechanism of spontaneous CAD resolution 5,8,11,15,16,22,31,32,35,41,59 . In our second case, we observed changes in the size of the adventitial cyst despite constant problems perceived by the patient.…”

Section: Diagnostics Of Cadmentioning

confidence: 99%

“…Damage to the media and intima, if present, is considered to be secondary 1 but a rare case of severe mucoid degeneration of the intima and media has also been described 2 . The condition is predominantly located in the popliteal artery (approximately 85 per cent of cases) but other investigators have reported involvement of the external iliac 3,4 , common femoral [5][6][7][8] , axillary 9 , distal brachial 2 , radial and ulnar arteries 10,11 . Veins can also be affected, e.g.…”

Section: Introductionmentioning

confidence: 99%

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Cystic Adventitial Disease of the Popliteal Artery: Report on Three Cases and Review of the Literature

Drác¹,

Köcher²,

Utíkal³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Section: Etiology Of Cadsupporting

confidence: 56%

Section: Treatment Of Cadmentioning

confidence: 97%

Section: Diagnostics Of Cadmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cystic Adventitial Disease of the Popliteal Artery: Report on Three Cases and Review of the Literature

Drác¹,

Köcher²,

Utíkal³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…Clinical records were reviewed and data abstracted from the charts including patient demographics, presenting complaints, imaging findings, and subsequent management. We excluded one previously published case (Wang et al, ).…”

Section: Methodsmentioning

confidence: 99%

Adventitial cysts of the radial artery are joint connected

2018

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Volar radial wrist masses are common. Adventitial cysts of the radial artery are rarely reported and poorly understood. We describe a case series of adventitial cysts in association with the radial artery and detail their pathophysiology and treatment. We conducted an Institutional Review Board-approved retrospective review of patients treated at our institution from 1997 to 2018. Twelve patients were identified. Presenting symptoms typically included pain and swelling over the volar radial wrist. High-resolution magnetic resonance imaging (MRI) demonstrated tubular, cystic lesions within the adventitia of the radial artery with connections to the wrist joint confirmed on multiplanar imaging: (radiocarpal joint = 10; scaphotrapeziotrapezoidal joint = 1; and intercarpal joint = 1). Seven patients underwent operation, at which time the cyst was resected and the articular branch disconnected. These patients reported resolution of their symptoms without clinical recurrence. The consistent finding of a joint connection in these cases of adventitial cysts associated with the radial artery has important clinical implications. The joint connection needs to be disconnected. Level of evidence: Level IV, case series. Clin. Anat., 2018. © 2018 Wiley Periodicals, Inc.

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An anatomically based imaging sign to detect adventitial cyst derived from the superior tibiofibular joint

et al. 2011

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The origin for complex intraneural cysts remains controversial despite recent emerging evidence to support their articular origin. The coexistence of intraneural and adventitial cysts has been described due to the proximate neurovascular bundle, i.e., the articular (neural) branch and vessels at the joint capsule. To clarify the pathogenesis, anatomically based imaging patterns can be identified. This paper characterizes a common finding identified on MRI describing the adventitial component originating from the superior tibiofibular joint (STFJ). MRIs of patients with fibular (peroneal) (n = 24) and tibial (n = 7) intraneural ganglion cysts were reviewed. Eleven patients with fibular intraneural ganglion cysts were identified as having a coexisting adventitial component. In all cases, the adventitial cyst extended from the anterior portion of the STFJ, within the capsular vessels, and along the anterior tibial vessels. The reproducible anatomy permitted the identification of an imaging pattern: the "vascular U" sign, consisting of cystic anterior tibial vessels running through the interosseous membrane between the proximal tibia and fibula. This sign was seen on axial MR image(s) obtained at the level of the fibular neck in all cases. To generalize these findings, the rare tibial intraneural ganglion cysts (derived from the posterior aspect of the STFJ) were examined; two cases had coexisting adventitial cysts with visualization of the vascular U sign. This new imaging pattern can improve the identification of adventitial cysts at the level of the STFJ.

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Adventitial Cyst of the Radial Artery With a Wrist Joint Connection

Cited by 18 publications

References 18 publications

Cystic Adventitial Disease of the Popliteal Artery: Report on Three Cases and Review of the Literature

Cystic Adventitial Disease of the Popliteal Artery: Report on Three Cases and Review of the Literature

Adventitial cysts of the radial artery are joint connected

An anatomically based imaging sign to detect adventitial cyst derived from the superior tibiofibular joint

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