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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-03-2007 | Knee

Conservative treatment for a symptomatic solitary ganglion cyst of the anterior meniscus invading into the infrapatellar fat pad

Authors: Yu-Chih Liu, Ko-Huang Lue, Ko-Hsiu Lu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2007

Abstract

Symptomatic meniscal cysts without accompanying meniscal tears are uncommon, especially those which are formed from the anterior meniscus and invading into the infrapatellar fat pad (IPFP). The current recommended treatment for such cysts is excision through open method or arthroscopy. To our knowledge, this is the first case study about a symptomatic solitary meniscal cyst invading the IPFP that was successfully treated with needle aspiration and steroid injection after arthroscopic treatment of the associated disorders. In this paper, similar cases are also reviewed to discuss the treatment and the link between meniscal cyst and meniscal tear.

Parisien JS (1990) Arthroscopic treatment of cysts of the menisci. A preliminary report. Clin Orthop Relat Res 257:154–158PubMed

Ryu RK, Ting AJ (1993) Arthroscopic treatment of meniscal cysts. Arthroscopy 9:591–595PubMedCrossRef

Seger BM, Woods GW (1986) Arthroscopic management of lateral meniscal cysts. Am J Sports Med 14:105–108PubMed

Spence KF Jr, Robertson RJ (1986) Medial meniscal cysts. Case report and review of the literature. Orthopedics 9:1093–1096PubMed

Atay OA, Aydingoz U, Doral MN, Tetik O, Leblebicioglu G (2002) Symptomatic ring-shaped lateral meniscus: magnetic resonance imaging and arthroscopy. Knee Surg Sports Traumatol Arthrosc 10:280–283PubMedCrossRef

Erginer R, Yucel I, Ogut T, Kesmezacar H, Babacan M (2004) Medial meniscus anterior horn cyst: arthroscopic decompression. Arthroscopy 20(Suppl2):9–12PubMedCrossRef

Lu KH (2003) Unusual solitary ganglion cysts of the anterior segment of the lateral meniscus. Arthroscopy 19:E16PubMedCrossRef

Schmitz MC, Schaefer B, Bruns J (1996) A ganglion of the anterior horn of the medial meniscus invading the infrapatellar fat pad. Case report. Knee Surg Sports Traumatol Arthrosc 4:97–99PubMedCrossRef

Schuldt DR, Wolfe RD (1980) Clinical and arthrographic findings in meniscal cysts. Radiology 134:49–52PubMed

10.

Burk DL Jr, Dalinka MK, Kanal E, Schiebler ML, Cohen EK, Prorok RJ, Gefter WB, Kressel HY (1988) Meniscal and ganglion cysts of the knee: MR evaluation. AJR Am J Roentgenol 150:331–336PubMed

11.

Mills CA, Henderson IJ (1993) Cysts of the medial meniscus. Arthroscopic diagnosis and management. J Bone Joint Surg Br 75:293–298PubMed

12.

Passler JM, Hofer HP, Peicha G, Wildburger R (1993) Arthroscopic treatment of meniscal cysts. J Bone Joint Surg Br 75:303–304PubMed

13.

Greis PE, Burks RT (2003) Arthroscopic meniscectomy. In: McGinty JB (eds) Operative arthroscopy, 3rd edn. Williams & Wilkins, Lippincott, pp 218–231

14.

Outerbridge RE, Dunlop JA (1975) The problem of chondromalacia patellae. Clin Orthop Relat Res 110:177–196PubMedCrossRef

15.

Ebner A (1904) Ein Fall Von Ganglion am Kniegelenks-meniskus. Muencherer Med Wochenschr 51:1737–1739

16.

Miller III RH (2003) Knee injuries. In: Cavale ST (ed) Campbell’s operative orthopaedics, 10th edn. Mosby-Year book, St Louis, pp 2165–2337

17.

Lu KH (2002) An unusual case of meniscal hematoma mimicking a medial meniscal cyst. Arthroscopy 18:E22CrossRef

18.

Clarke HD, Scott WN, Insall JN (2001) Anatomic aberrations. In: Insall JN, Scott WN (eds) Surgery of the knee, 3rd edn. Churchill Livingstone, Philadelphia, pp 77–94

19.

Tyson LL, Daughters TC Jr, Ryu RK, Crues JV III (1995) MRI appearance of meniscal cysts. Skeletal Radiol 24:421–424PubMedCrossRef

20.

Lu KH (2006) Arthroscopic meniscal repair and needle aspiration for meniscal tear with meniscal cyst. Arthroscopy (in press)

21.

DeFriend DE, Schranz PJ, Silver DA (2001) Ultrasound-guided aspiration of posterior cruciate ligament ganglion cysts. Skeletal Radiol 30:411–414PubMedCrossRef

22.

Nokes SR, Koonce TW, Montanez J (1994) Ganglion cysts of the cruciate ligaments of the knee: recognition on MR images and CT-guided aspiration. AJR Am J Roentgenol 162:1503PubMed

23.

Gallo GA, Bryan RS (1968) Cysts of the semilunar cartilages of the knee. Am J Surg 116:65–68PubMedCrossRef

24.

Lapidus PW, Guidotti FP (1957) Local injections of hydrocortisone in 495 orthopedic patients. Ind Med Surg 26:234–244PubMed

25.

Muddu BN, Barrie JL, Morris MA (1992) Aspiration and injection for meniscal cysts. J Bone Joint Surg Br 74:627–628PubMed

26.

Bui-Mansfield LT, Youngberg RA (1997) Intra-articular ganglia of the knee: prevalence, presentation, etiology, and management. AJR Am J Roentgenol 168:123–127PubMed

27.

Kang CN, Kim DW, Kim DJ, Kim SJ (1999) Intra-articular ganglion cysts of the knee. Arthroscopy 15:373–378PubMedCrossRef

28.

Kim MG, Kim BH, Choi JA, Lee NJ, Chung KB, Choi YS, Cho SB, Lim HC (2001) Intra-articular ganglion cysts of the knee: clinical and MR imaging features. Eur Radiol 11:834–840PubMedCrossRef

29.

Mine T, Ihara K, Tanaka H, Taguchi T, Azuma E, Tanigawa Y, Kawai S (2003) A giant ganglion cyst that developed in the infrapatellar fat and partly extended into the knee joint. Arthroscopy 19:E40PubMedCrossRef

30.

Krudwig WK, Schulte KK, Heinemann C (2004) Intra-articular ganglion cysts of the knee joint: a report of 85 cases and review of the literature. Knee Surg Sports Traumatol Arthrosc 12:123–129PubMedCrossRef

31.

Aminudin CA, Samsudin OC, Hyzan MY, Hamzaini AH, Zahiah M (2004) Symptomatic intra-articular ganglion cyst of the knee. Med J Malaysia 59(Suppl F):57–59PubMed

32.

Yilmaz E, Karakurt L, Ozercan I, Ozdemir H (2004) A ganglion cyst that developed from the infrapatellar fat pad of the knee. Arthroscopy 20:e65–68PubMed

33.

David KS, Korula RJ (2004) Intra-articular ganglion cyst of the knee. Knee Surg Sports Traumatol Arthrosc 12:335–337PubMedCrossRef

Title: Conservative treatment for a symptomatic solitary ganglion cyst of the anterior meniscus invading into the infrapatellar fat pad
Authors: Yu-Chih Liu
Ko-Huang Lue
Ko-Hsiu Lu
Publication date: 01-03-2007
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2007
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-006-0157-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Conservative treatment for a symptomatic solitary ganglion cyst of the anterior meniscus invading into the infrapatellar fat pad

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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