Arthroscopic ganglion cyst excision in the anterolateral aspect of the knee


      We present a case of ganglion cyst of the knee treated arthroscopically. Ganglion cysts typically arise from the anterior or the posterior cruciate ligament. In this case of an anomalous location, a 3.5-cm mass arose directly from the anterolateral articular capsule, lying over the lateral meniscus, displacing Hoffa's fat pad and joining the pretibial bursa. We removed it arthroscopically using only medial portals to avoid cystic wall damage and fluid leakage from the lateral portal. Arthroscopic evaluation was performed starting from the inferomedial portal to assess the cyst location, and shifting to the mid patellar portal. From that portal, we were able resect the cyst, opening the wall and shaving and aspirating the myxoid fluid.
      Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 4 (April), 2003: pp E32–E32


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        • Caan P
        Cyst formation (ganglion) in the anterior cruciate ligament of the knee.
        Dtsch Z Chir. 1924; 186: 403-408
        • Brown MF
        • Dandy DJ
        Intra-articular ganglia in the knee.
        Arthroscopy. 1990; 6: 322-323
        • McLaren DB
        • Buckwalter KA
        • Vahey TN
        The prevalance and significance of cyst-like changes of cruciate ligament attachments in the knee.
        Skeletal Radiol. 1992; 21: 365-369
        • Kang CN
        • Kim DW
        • Kim DJ
        • Kim SJ
        Intra-articular ganglion cysts of the knee.
        Arthroscopy. 1999; 15: 373-378
        • Kobayashi S
        • Terayama K
        Arthroscopic reduction and fixation of a completely displaced fracture of the intercondylar eminence of the tibia.
        Arthroscopy. 1994; 10: 231-235
        • Resnick D
        Internal derangements of joints.
        in: Diagnosis of bone and joint disorders. WB Saunders, Philadelphia1995: 3061-3063
        • Nokes SR
        • Koonce TW
        • Montanez J
        Ganglion cysts of the cruciate ligaments of the knee: Recognition on MR images and CT-guided aspiration.
        AJR Am J Roentgenol. 1994; 162: 1503
        • Burk Jr., DL
        • Dalinka MK
        • Kanal E
        • et al.
        Meniscal and ganglion cysts of the knee: MR evaluation.
        AJR Am J Roentgenol. 1988; 150: 331-336
        • VanderWilde RS
        • Peterson HA
        Meniscal cyst and magnetic resonance imaging in childhood and adolescence.
        J Pediatr Orthop. 1992; 12: 761-765
        • Mcgehee FO
        • Cameron BM
        Large cyst of the medial meniscus of the knee joint: Report of case.
        J Bone Joint Surg Am. 1955; 37: 1281-1283
        • Stener B
        Unusual ganglion cysts in the neighbourhood of the knee joint: A report of six cases, three with involvement of the peroneal nerve.
        Acta Orthop Scandinav. 1969; 40: 392-401
        • Barrie HJ
        The pathogenesis and significance of meniscal cysts.
        J Bone Joint Surg Br. 1979; 61: 184-189
        • Bui-Mansfield LT
        • Youngberg RA
        Intraarticular ganglia of the knee: Prevalence, presentation, etiology, and management.
        AJR Am J Roentgenol. 1997; 168: 123-127
        • Ghormley RK
        • Dockerty MB
        Cystic myxomatous tumors about the knee: Their relation to cysts of the menisci.
        J Bone Joint Surg. 1943; 25: 306-318
        • Ferrer-Roca O
        • Vilalta C
        Lesions of the meniscus. Part II: Horizontal cleavages and lateral cysts.
        Clin Orthop. 1980; : 301-307
        • Granowitz SP
        • D'Antonio J
        • Mankin HL
        The pathogenesis and long-term end results of pigmented villonodular synovitis.
        Clin Orthop. 1976; 114: 335-351
        • Flandry FC
        • Jacobson KE
        • Andrews JR
        Localized pigmented villonodular synovitis of the mimicking meniscl injury.
        Arthroscopy. 1986; 2: 217-221
        • Flandry FC
        • Hughston JC
        • Jacobson KE
        • et al.
        Surgical treatment of diffuse pigmented villonodular synovitis of the knee.
        Clin Orthop. 1994; 300: 183-192
        • Poletti SC
        • Gates III, HS
        • Martinez SM
        • et al.
        The use of magnetic resonance imaging in the diagnosis of pigmented villonodular synovitis.
        Orthopedics. 1990; 13: 185-190
        • Spritzer CE
        • Dalinka MK
        • Kressel HY
        Magnetic resonance imaging of pigmented villonodular synovitis: a report of two cases.
        Skeletal Radiol. 1987; 16: 316-319
        • Favorito PJ
        • Schwend RM
        Intraarticular knee ganglion: A case report of an unusual cause of limping in a 4-year-old.
        J Pediatr Orthop. 2000; 9: 125-127
        • Hammer DS
        • Dienst M
        • Kohn DM
        Arthroscopic treatment of tumor-like lesions of the knee joint: Localized pigmented villonodular synovitis and ganglion cyst of the anterior cruciate ligament.
        Arthroscopy. 2001; 17: 320-323
        • Deutsch A
        • Veltri DM
        • Haltcheck DW
        • et al.
        Symptomatic intra-articular ganglia of the cruciate ligaments of the knee.
        Arthroscopy. 1994; 10: 219-223
        • Kim SJ
        • Kim HJ
        High Portal: Practical philosophy for positioning portals in knee arthroscopy.
        Arthroscopy. 2001; 17: 333-337
        • Roeser WM
        • Tsai E
        Ganglion cysts of the anterior cruciate ligament.
        Arthroscopy. 1994; 10: 574-575