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Intraosseous ganglion of the distal tibia: clinical, radiological, and operative management.

Sedeek SM, Choudry Q, Garg S - Case Rep Orthop (2015)

Bottom Line: Intraosseous ganglion cysts of the ankle are relatively uncommon.We present a case of recurrent intraosseous ganglion in the ankle of a 41-year-old female who had recurrence after initial surgery.At the final follow-up, satisfactory results were obtained with no recurrence or complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn BB2 3HH, UK.

ABSTRACT
Intraosseous ganglia are benign cystic lesions located in the subchondral bone. Intraosseous ganglion cysts of the ankle are relatively uncommon. We present a case of recurrent intraosseous ganglion in the ankle of a 41-year-old female who had recurrence after initial surgery. She was treated effectively by curettage and autogenous cancellous bone grafting. At the final follow-up, satisfactory results were obtained with no recurrence or complications.

No MeSH data available.


Related in: MedlinePlus

Lateral view X-ray showing reoccurring cystic lesion in distal tibia.
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fig3: Lateral view X-ray showing reoccurring cystic lesion in distal tibia.

Mentions: Four years later, the patient was referred by a general practitioner for the recurrence of ankle pain. The examination revealed mild tenderness over the lower tibia and above the medial malleolus; however, there was no soft-tissue swelling. Her X-rays revealed a recurrence of the osteolytic lesion in the distal tibia (Figures 3 and 4). Magnetic Resonance Imaging (MRI) demonstrated a well-circumscribed cystic-like lesion in the lower tibia, just above the joint surface (Figures 5 and 6). Surgery was planned with anteromedial approach to the right ankle performed under general anaesthesia and X-ray guidance. The periosteum was reflected from the medial malleolus, and a trap door window was cut over the lesion. A cyst with a fibrous wall was found measuring approximately 2 × 1 cm. The cyst contained clear fluid. The cavity was currettaged and the roof was removed. The cavity was then packed with iliac crest bone graft. There was no direct communication between the cavity and the ankle joint. Histological examination showed fibrous tissue with myxoid changes consistent with an intraosseous ganglion.


Intraosseous ganglion of the distal tibia: clinical, radiological, and operative management.

Sedeek SM, Choudry Q, Garg S - Case Rep Orthop (2015)

Lateral view X-ray showing reoccurring cystic lesion in distal tibia.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4309300&req=5

fig3: Lateral view X-ray showing reoccurring cystic lesion in distal tibia.
Mentions: Four years later, the patient was referred by a general practitioner for the recurrence of ankle pain. The examination revealed mild tenderness over the lower tibia and above the medial malleolus; however, there was no soft-tissue swelling. Her X-rays revealed a recurrence of the osteolytic lesion in the distal tibia (Figures 3 and 4). Magnetic Resonance Imaging (MRI) demonstrated a well-circumscribed cystic-like lesion in the lower tibia, just above the joint surface (Figures 5 and 6). Surgery was planned with anteromedial approach to the right ankle performed under general anaesthesia and X-ray guidance. The periosteum was reflected from the medial malleolus, and a trap door window was cut over the lesion. A cyst with a fibrous wall was found measuring approximately 2 × 1 cm. The cyst contained clear fluid. The cavity was currettaged and the roof was removed. The cavity was then packed with iliac crest bone graft. There was no direct communication between the cavity and the ankle joint. Histological examination showed fibrous tissue with myxoid changes consistent with an intraosseous ganglion.

Bottom Line: Intraosseous ganglion cysts of the ankle are relatively uncommon.We present a case of recurrent intraosseous ganglion in the ankle of a 41-year-old female who had recurrence after initial surgery.At the final follow-up, satisfactory results were obtained with no recurrence or complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, East Lancashire Hospitals NHS Trust, Blackburn BB2 3HH, UK.

ABSTRACT
Intraosseous ganglia are benign cystic lesions located in the subchondral bone. Intraosseous ganglion cysts of the ankle are relatively uncommon. We present a case of recurrent intraosseous ganglion in the ankle of a 41-year-old female who had recurrence after initial surgery. She was treated effectively by curettage and autogenous cancellous bone grafting. At the final follow-up, satisfactory results were obtained with no recurrence or complications.

No MeSH data available.


Related in: MedlinePlus