Aggressive proximal tibio-fibular joint ganglion cyst after a total knee arthroplasty - A case report

Aditya V. Maheshwari, Carlos A. Muro-Cacho, H. Thomas Temple

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Although the knee is a common location, a ganglion cyst arising from the proximal tibio-fibular joint (PTFJ) is relatively rarer. Unique diagnostic and management difficulties are encountered as these can extend into subcutaneous tissue, or spread along peroneal muscles and nerve, or erode adjacent bone. We report here a PTFJ ganglion cyst which was indolent for at least 12 years and then caused destructive and expansile changes in the fibula over a period of 6 years after a total knee arthroplasty (TKA), simulating a malignancy. Although no wear or foreign body reaction could be shown, this alarming progression of a PTFJ ganglion cyst in the fibula after the TKA is a noteworthy association, and has not been recognized and reported before. Awareness of such a lesion can aid in the diagnosis and prevent unnecessary aggressive management.

Original languageEnglish
Pages (from-to)411-415
Number of pages5
JournalKnee
Volume15
Issue number5
DOIs
StatePublished - Oct 1 2008

Fingerprint

Ganglion Cysts
Knee Replacement Arthroplasties
Fibula
Joints
Foreign-Body Reaction
Peroneal Nerve
Subcutaneous Tissue
Knee
Bone and Bones
Muscles
Neoplasms

Keywords

  • Bone cyst
  • Bone cysts after total knee arthroplasty
  • Intraosseous ganglion cyst
  • Proximal tibio-fibular joint ganglion cyst

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Aggressive proximal tibio-fibular joint ganglion cyst after a total knee arthroplasty - A case report. / Maheshwari, Aditya V.; Muro-Cacho, Carlos A.; Thomas Temple, H.

In: Knee, Vol. 15, No. 5, 01.10.2008, p. 411-415.

Research output: Contribution to journalArticle

Maheshwari, Aditya V. ; Muro-Cacho, Carlos A. ; Thomas Temple, H. / Aggressive proximal tibio-fibular joint ganglion cyst after a total knee arthroplasty - A case report. In: Knee. 2008 ; Vol. 15, No. 5. pp. 411-415.
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