Treatment of a large intraosseous talar ganglion by means of hindfoot endoscopy

Scholten, Peter E.; Altena, Mark; Krips, Rover; Dijk, C. Niek van

doi:10.1053/jars.2003.50028

Cited by 38 publications

(25 citation statements)

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“…Ankle arthroscopy, which could reduce surgical trauma and offer a clear view, has become more and more popular in recent years (16)(17)(18). The arthroscopic method for treatment of talar cysts has also been given increasing attention (19)(20)(21)(22). Ogut et al (8) reported good outcomes for posterior talar cysts with and without flexor hallucis longus tendinitis, symptomatic triangular bone, and pigmented villonodular synovitis using hindfoot endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopically Assisted Anterior Treatment of Symptomatic Large Talar Bone Cyst

Zhu

Yang

Duan

2019

The Journal of Foot and Ankle Surgery

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Symptomatic cystic lesions of the talus are rare. The traditional operations usually do not provide visualization to reveal the deep structure of the lesion and could cause cartilage damage or other severe traumatic injury. We report an operative technique to reach the cystic lesion without talar cartilage damage, remove the lesion, and fill defect with a bone graft assisted by anterior arthroscopy and evaluate its safety and reliability for future study. Seven cases of talar bone cyst were included. The patients were placed in the supine position after anesthesia induction and noninvasive ankle traction was applied. Standard anteromedial and anterolateral portals were established to observe the ankle; the distal end of the medial approach was moderately enlarged to 2 to 3 cm. The biopsy specimen of the cyst was obtained under arthroscopic guidance; the cyst wall was abraded and the sclerotic rim drilled. Arthrocare radiofrequency ablation was performed to prevent recurrence. The defect was tightly impacted with autologous or allograft cancellous bone. All cysts in these cases were located in the medial talus; anteroposterior radiographs and computed tomographic coronary scan showed a cyst diameter of >1 cm. Intraoperative inspection showed a tiny chondral gap on the talar dome in 1 case and on the medial wall of talus in 1 case; no cartilage injury was found in the remainder. Two cases were impacted with grafted autogenous iliac bone into the talar defect and 5 cases with allograft cancellous bone. Computed tomography confirmed that the cysts had healed, with no signs of recurrence found in any patient at 1 year postoperatively. The mean American Orthopaedic Foot and Ankle Society ankle-hindfoot scale score increased from 65 preoperatively to 91 points postoperatively, a statistically significant difference (p < .01). No complications developed and no reoperations were required postoperatively. Arthroscopically assisted anterior treatment with autologous or allograft bone graft is an effective method for symptomatic large talar bone cysts.

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Section: Discussionmentioning

confidence: 99%

Arthroscopically Assisted Anterior Treatment of Symptomatic Large Talar Bone Cyst

Zhu

Yang

Duan

2019

The Journal of Foot and Ankle Surgery

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“…Very few reports have been published on arthroscopic management of these lesions. The arthroscopic technique was performed as described by Van Dijk [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic intralesional curettage for large benign talar dome cysts

Shazly

Soud

Abdelatif

2015

SICOT-J

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Introduction: Surgical management of large talar dome cysts is challenging due to increased morbidity by associated cartilage damage and malleolar osteotomy. The purpose of this study is to evaluate the clinical and radiological outcome of endoscopic curettage and bone graft for large talar dome cysts. Methods: This is a retrospective analysis of data for eight patients (eight feet) who were treated by arthroscopic curettage and grafting for large talar dome cysts. Seven cases were treated by posterior ankle arthroscopy as the lesion was located posteriorly while one case was treated by anterior ankle arthroscopy as the lesion was breached anteriorly. Results: The final diagnosis, was; large osteochondral lesion of talus (two cases), aneurysmal bone cyst (ABC) (two case), intra-osseous ganglion (two cases), Chronic infection in talus (one case) and angiomatous lesion of the talus (one case). The mean follow up period was 18.3 (±3.06 SD) months (range 16–25 months). The median preoperative AOFAS score was 74.5 (±5.34 SD) points. The mean postoperative AOFAS score at one year follow up was 94.6 (±2.97 SD) points. None of the patient had recurrence of the lesion during follow up. Return to normal daily activity was achieved at 11.25 (±2.37 SD) weeks. Discussion: In this short case series study, large talar dome bony cysts of different pathologies including aneurysmal bone cysts could be treated effectively by endoscopic curettage and bone grafting with no recurrence no complications during the follow-up period.

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“…There are some reports in the English literature regarding intraosseous ganglia around the ankle. Most of these lesions reportedly were in the tarsal bones and the medial malleolus and some in the lateral malleolus [4,8,12,14,16].…”

Section: Introductionmentioning

confidence: 99%

“…In the current scenario of advanced surgical techniques, arthroscopically assisted treatment of these juxtaarticular benign lesions is possible and can be meticulously accomplished. This technique has been used successfully for treating intraosseous ganglia in other locations, such as the talus, the femoral condyle, and the lunate [2,11,16,18].…”

Section: Introductionmentioning

confidence: 99%