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 |
|---|---|
| Pages (from-to) | 411-415 |
| Number of pages | 5 |
| Journal | Knee |
| Volume | 15 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 1 2008 |
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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 journal › Article
}
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 - Thomas Temple, H.
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
VL - 15
SP - 411
EP - 415
JO - Knee
JF - Knee
SN - 0968-0160
IS - 5
ER -