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

doi:10.1016/j.knee.2008.04.008

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

Orthopaedics

Research output: Contribution to journal › Article

4 Scopus citations

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 language	English (US)
Pages (from-to)	411-415
Number of pages	5
Journal	Knee
Volume	15
Issue number	5
DOIs	https://doi.org/10.1016/j.knee.2008.04.008
State	Published - Oct 1 2008

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

Access to Document

10.1016/j.knee.2008.04.008

Fingerprint Dive into the research topics of 'Aggressive proximal tibio-fibular joint ganglion cyst after a total knee arthroplasty - A case report'. Together they form a unique fingerprint.

Cite this

Maheshwari, A. V., Muro-Cacho, C. A., & Temple, H. T. (2008). Aggressive proximal tibio-fibular joint ganglion cyst after a total knee arthroplasty - A case report. Knee, 15(5), 411-415. https://doi.org/10.1016/j.knee.2008.04.008

@article{130e5ca1d5fb47418cc4fac2e232f5ac,

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

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.",

keywords = "Bone cyst, Bone cysts after total knee arthroplasty, Intraosseous ganglion cyst, Proximal tibio-fibular joint ganglion cyst",

author = "Maheshwari, {Aditya V.} and Muro-Cacho, {Carlos A.} and Temple, {H. Thomas}",

year = "2008",

month = oct,

day = "1",

doi = "10.1016/j.knee.2008.04.008",

language = "English (US)",

volume = "15",

pages = "411--415",

journal = "Knee",

issn = "0968-0160",

publisher = "Elsevier",

number = "5",

}

TY - JOUR

T1 - Aggressive proximal tibio-fibular joint ganglion cyst after a total knee arthroplasty - A case report

AU - Maheshwari, Aditya V.

AU - Muro-Cacho, Carlos A.

AU - Temple, H. Thomas

PY - 2008/10/1

Y1 - 2008/10/1

N2 - 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.

AB - 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.

KW - Bone cyst

KW - Bone cysts after total knee arthroplasty

KW - Intraosseous ganglion cyst

KW - Proximal tibio-fibular joint ganglion cyst

UR - http://www.scopus.com/inward/record.url?scp=50449104629&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=50449104629&partnerID=8YFLogxK

U2 - 10.1016/j.knee.2008.04.008

DO - 10.1016/j.knee.2008.04.008

M3 - Article

C2 - 18558489

AN - SCOPUS:50449104629

VL - 15

SP - 411

EP - 415

JO - Knee

JF - Knee

SN - 0968-0160

IS - 5

ER -