Cases reported "Ganglion Cysts"

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1/2. A ganglion cyst that developed from the infrapatellar fat pad of the knee.

    A ganglion cyst may be seen in all joints with varying frequency depending on location, but it is rare in the knee joint. A 30-year-old man presented with a mass in the anterolateral aspect of his left knee. magnetic resonance imaging revealed an intra-articular tumor arising from the infrapatellar fat pad of the knee. This multilobular tumor showed low signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Complete open resection was performed after arthroscopic examination. Histologic examination of the specimen confirmed the diagnosis of ganglion cyst. At the 1-year follow-up examination, the patient's left knee was completely asymptomatic with full range of motion and no recurrence. Ganglion cyst should be considered in the differential diagnosis of intra-articular masses.
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2/2. Locked knee caused by intraarticular ganglion.

    Intraarticular ganglion cyst arising from the cruciate ligament is difficult to diagnose by clinical symptom. In our case, Cyst attached anteriorly to posterior cruciate ligament, and limited both flexion and extension of knee. The cyst was excised in a piecemeal fashion arthroscopically. Knee pain and limitation in knee motion disappeared by the day after surgery. We hypothesize that reason of restriction of extension is impingement between anterior cruciate ligament and intracondylar, and reason of restriction of flexion is stimulation nerve ending in the synovial membrane stretched with knee motion.
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