Sonographic Evaluation of a Tibial Periosteal Ganglion With an Intraosseous Component

Choi, Yun Sun; Kim, Byoung-Suck; Kim, Dong Hoon; Chun, Tong Jin; Yang, Seoung-Oh; Choi, Kyu-Hong

doi:10.7863/jum.2006.25.10.1369

Cited by 7 publications

(10 citation statements)

References 9 publications

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“…[9] In addition to characterizing the nature and location of the lesion, ultrasound-guided aspiration may also be attempted. Periosteal ganglions are identified as anechoic collections with occasional septations.…”

Section: Discussionmentioning

confidence: 99%

Tibial periosteal ganglion cyst: The ganglion in disguise

Reghunath

Mittal

Khanna

et al. 2017

Indian Journal of Radiology and Imaging

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Soft tissue ganglions are commonly encountered cystic lesions around the wrist presumed to arise from myxomatous degeneration of periarticular connective tissue. Lesions with similar pathology in subchondral location close to joints, and often simulating a geode, is the less common entity called intraosseous ganglion. Rarer still is a lesion produced by mucoid degeneration and cyst formation of the periostium of long bones, rightly called the periosteal ganglion. They are mostly found in the lower extremities at the region of pes anserinus, typically limited to the periosteum and outer cortex without any intramedullary component. We report the case of a 62 year-old male who presented with a tender swelling on the mid shaft of the left tibia, which radiologically suggested a juxtacortical lesion extending to the soft tissue or a soft tissue neoplasm eroding the bony cortex of tibia. It was later diagnosed definitively as a periosteal ganglion in an atypical location, on further radiologic work-up and histopathological correlation.

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Section: Discussionmentioning

confidence: 99%

Tibial periosteal ganglion cyst: The ganglion in disguise

Reghunath

Mittal

Khanna

et al. 2017

Indian Journal of Radiology and Imaging

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“…The radiographic differential diagnosis of surface aneurysmal bone cyst includes periosteal chondroma, 27 periosteal ganglion, 28,29 subperiosteal giant cell reparative granuloma, 30 subperiosteal hemangioma, 31 subperiosteal osteoid osteoma, 32,33 chondromyxoid fibroma, 34 posttraumatic cyst, 35 and telangiectatic osteosarcoma. 4,14,17 The use of fluid-fluid levels on MRI and CT to elucidate the differential diagnosis of aneurysmal bone cyst is not pathognomonic for primary aneurysmal bone cyst.…”

Section: Discussionmentioning

confidence: 99%

Surface Aneurysmal Bone Cyst: Clinical and Imaging Features in 10 New Cases

Yalçınkaya¹,

Lapcın²,

Arıkan³

et al. 2016

Orthopedics

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Aneurysmal bone cyst originating from the surface of the bone, either within the cortex or subperiosteally, is an uncommon anatomic subtype. This article reports the clinical and radiologic evaluations and treatment outcomes of 10 patients with surface aneurysmal bone cysts that were surgically treated between 1982 and 2014. Mean age at the time of surgery was 22.4 years (range, 11-44 years). According to Capanna's radiographic evaluation criteria, 6 of the lesions were classified as type V and 4 were classified as type IV. Radiographically, periosteal shell formation was observed to be complete in 4 patients, partial in 3, and absent in 3, and 6 patients had Codman's angle or buttress formation. In 1 patient, computed tomography scan showed birdcage-like ossification attached to the surface of bone. Magnetic resonance imaging showed fluid-fluid levels in 5 patients. All of the patients had standard curettage and high-speed burr application as an adjuvant. No patient had local recurrence at the end of the follow-up period of 98.4 months (range, 13-288 months). These findings show the importance of careful radiologic evaluation and biopsy to better plan a treatment strategy when surface aneurysmal bone cyst is included in the differential diagnosis. The finding of fluid-fluid levels on magnetic resonance imaging or computed tomography is not pathognomonic for primary aneurysmal bone cyst; however, the absence of this finding does not rule out the diagnosis. The rate of local recurrence after curettage plus high-speed burr is reasonably low, and other adjuvant procedures should be used whenever needed. [Orthopedics. 2016; 39(5):e897-e903.].

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“…Although described mainly in men, these lesions also have been reported 1,2 in children. Periosteal ganglia typically involve the tibia, but reports [2][3][4] have also described involvement of the medial malleolus, femur, ilium, radius, and ulna. Duration before presentation varies from several weeks to years.…”

Section: Periosteal Ganglia Presenting As Subcutaneous Nodules On Thementioning

confidence: 99%

“…3 Mucoid degeneration of the periosteum is the most frequently proposed pathogenesis for the formation of periosteal ganglia. [1][2][3][4][5][6] Fibroblasts are thought to form intercellular mucin, which coalesces to form cystic lesions. Accumulation of mucoid material compresses the surrounding tissue, thereby inducing further fibroblast proliferation, collagen production, and ultimately an encapsulating fibrous wall.…”

Section: Periosteal Ganglia Presenting As Subcutaneous Nodules On Thementioning

confidence: 99%

“…Accumulation of mucoid material compresses the surrounding tissue, thereby inducing further fibroblast proliferation, collagen production, and ultimately an encapsulating fibrous wall. 4 The central cystic contents are composed of an acellular mucinous or gelatinous fluid. 4 Although communication with the underlying joint space has not been reported, cases have shown 3,5 varying degrees of underlying cortical erosion with scalloping and spiculated bone reactions.…”

Section: Periosteal Ganglia Presenting As Subcutaneous Nodules On Thementioning

confidence: 99%

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Periosteal Ganglia Presenting as Subcutaneous Nodules on the Tibia

et al. 2014

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munication represents a practice gap, and it behooves dermatologists to step in and fill this gap. The JAMA network, including JAMA Dermatology, offers the Patient Page to provide essential, credible information about common and obscure medical conditions from experts in the field. This content is free and accessible at all times. Since beginning quarterly publication of the JAMA Dermatology Patient Page in 2013, those pages have been viewed a combined total of 5094 times on the JAMA Dermatology website as of December 12, 2013. The morphea page 1 alone has reached 957 people via Facebook and has received 60 likes, comments, and shares. We provide accurate education about dermatologic diseases to guide our patients with diseases like morphea who are at high risk of stumbling across misinformation on the Internet about systemic sclerosis that could cause increased anxiety and unnecessary fear. One of our core roles as physicians is to serve as teachers, for our students, our colleagues, and first and foremost for our patients. The Patient Page is a step along that path, but as Bhatia suggests, the mobile apps represent a way for dermatologists to educate their patients.

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Sonographic Evaluation of a Tibial Periosteal Ganglion With an Intraosseous Component

Cited by 7 publications

References 9 publications

Tibial periosteal ganglion cyst: The ganglion in disguise

Tibial periosteal ganglion cyst: The ganglion in disguise

Surface Aneurysmal Bone Cyst: Clinical and Imaging Features in 10 New Cases

Periosteal Ganglia Presenting as Subcutaneous Nodules on the Tibia

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