1/8. ganglion cysts of the posterior cruciate ligament.ganglion cysts arising from the posterior cruciate ligament (PCL) of the knee are rare. Thirteen cases have been reported with detailed description in the English literature. In this study, 3 cases of ganglion cyst arising from the PCL of the knee are described and comparatively reviewed with the literature. This case report draws attention to clinical symptoms and signs. We presume that rather than mechanical block, it is changes in the shape and dimension of the ganglion cyst with knee motion and posture that stimulate nerve endings in the synovial membrane, causing the development of knee pain and the limitation of knee motion.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/8. 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.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
3/8. chiropractic treatment of lumbar spine synovial cysts: a report of two cases.OBJECTIVE: To present the treatment of low back and radicular pain due to synovial cysts of the lumbar spine including chiropractic distraction manipulation and physiological therapeutic care. CLINICAL FEATURES: Two patients (71-year-old man and 59-year-old woman) with magnetic resonance imaging (MRI)-diagnosed large synovial cysts at the L3 through L4 and L4 through L5 vertebral levels, respectively, had lower extremity pain, numbness, and tingling of the respective L4 and L5 dermatomes. INTERVENTION AND OUTCOME: chiropractic distraction manipulation was performed at the level of the synovial cyst. The manipulation was performed daily until 50% pain relief was attained, followed by diminished frequency of care. Physiotherapy included positive galvanism, iontophoresis, tetanizing electrical stimulation, stabilization exercises, and home cryotherapy. The male patient's pain was reduced by 50% in 14 days and 100% at 60 days. Range of motion of the thoracolumbar spine increased, walking distance increased from 1 to 2 blocks to 1 mile without pain, and repeat MRI showed reduced size of the cyst. The female patient, under the same treatment regimen, was pain free in 6 weeks. CONCLUSION: chiropractic distraction manipulation and physiological therapeutic care relieved 2 patients with low back and radicular pain attributed to MRI-confirmed synovial cysts of the lumbar spine. This treatment may be an initial conservative treatment option for synovial cysts with careful patient monitoring for progressive neurologic deficit which would necessitate surgery. Distraction manipulation may be a safe and effective conservative treatment of synovial cyst causing radicular pain; further data collection of clinical outcomes is warranted.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
4/8. Rotatory subluxation of the scaphoid after excision of dorsal carpal ganglion and wrist manipulation--a case report.Surgical excision of a ganglion on the dorsum of the wrist is usually a benign procedure. The most frequent complications are transient postoperative stiffness and recurrence of the ganglion. This paper reports the development of a rotatory subluxation of the scaphoid after the manipulation of the wrist of a patient who had developed postoperative stiffness after the surgical excision of a dorsal wrist ganglion. This unusual complication was successfully treated by closed pinning under radiographic control followed by immobilization in palmar flexion. Manipulation of the wrist for the management of postoperative stiffness is rarely, if ever, indicated. Limitation of motion of a wrist without underlying structural changes is best managed by gentle, gradual splinting, both static and dynamic. It is suggested that preoperative x-rays should be obtained as part of the routine workup for a dorsal wrist ganglion.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
5/8. Nerve root compression by a ganglion cyst of the lumbar anulus fibrosus. A case report.STUDY DESIGN. A case report of a ganglion cyst rising from the anulus pulposus, causing lumbar nerve root compression. OBJECTIVES. A rare pathologic condition causing sciatica is described. The pathologic anatomy and the magnetic resonance image of the lesion is discussed. SUMMARY OF BACKGROUND DATA. A 35-year-old man was subjected to an abrupt twisting motion of the torso during a motor vehicle accident. The patient had a L5-S1 discectomy 1 year before the accident. His low back discomfort and right lower extremity pain were clearly exacerbated by the recent trauma. methods. magnetic resonance imaging revealed enhancing lobulated epidural mass displacing the S1 nerve. RESULTS. Intraoperative findings were a lobulated cystic mass rising from the degenerated anulus fibrosus, determined on histologic examination to be a ganglion cyst. The patient noted significant relief of the right sciatica after surgery. CONCLUSION. The appearance and the signal intensity of the epidural mass appear to be important parameters in diagnosing the presence of a ganglion cyst of the anulus fibrous. Excision of the ganglion cyst is indicated in a patient who fails to respond to conservative treatment and where the symptoms correlate with the abnormality seen with magnetic resonance imaging.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
6/8. Giant synovial cyst of the shoulder presenting as a chest wall mass.Synovial cysts are most frequently found about the knee. Less commonly they have been described at the shoulder, elbow, ankle, and hip joints. Synovial cysts of the shoulder are associated with rheumatoid arthritis, osteoarthritis, chronic steroid use, Charcot joint disease, and long-standing rotator cuff tears. Although often asymptomatic, patients may present complaining of pain, loss of joint motion, or presence of an unexplained mass. The authors present the case of an elderly man with a very large synovial cyst presenting as an anterior chest wall mass.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |
7/8. Treatment of cysts of the acromioclavicular joint with shoulder hemiarthroplasty.A chronic cyst overlying the acromioclavicular joint was managed in four patients, between July 1988 and September 1991. All patients had had previous unsuccessful aspiration and excision of the cyst with recurrence. Each cyst was associated with a chronic, massive defect of the rotator cuff; superior migration of the humeral head; and degenerative osteoarthrosis of the glenohumeral joint. All patients had complained of pain and limitation of motion (mean forward elevation, 95 degrees; mean external rotation, 20 degrees; and mean internal rotation, to the spinous process of the second lumbar vertebra). All procedures consisted of a large-humeral-head hemiarthroplasty, with no operative treatment directed at the cyst or the acromioclavicular joint. At an average of twenty-seven months (range, fifteen to thirty-six months) after the operation, the patients were all pain-free and had not had a recurrence of the cyst. The average postoperative range of motion was 130 degrees of forward elevation, 30 degrees of external rotation, and internal rotation to the spinous process of the first lumbar vertebra.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
8/8. Intraligamentous ganglion cysts of the anterior cruciate ligament: MR findings with clinical and arthroscopic correlations.OBJECTIVE: Magnetic resonance findings with clinical and arthroscopic correlation of intraligamentous cysts of the anterior cruciate ligament (ACL) are presented. MATERIALS AND methods: Three cases of intraligamentous cysts of the ACL were identified out of 681 knee MRI examinations over a 2-year period. arthroscopy and postoperative MRI were performed in all three patients, each of whom experienced knee pain with extreme flexion and extension. RESULTS: In all three cases the intraligamentous cyst was homogeneously hypointense on T1-weighted imaging and hyperintense on T2-weighted imaging relative to the ACL. Two of the three ACL cysts required a 70 degrees scope for adequate visualization and establishment of posteromedial and posterolateral portals for arthroscopic treatment. One cyst could not be visualized arthroscopically and probing of the ACL from the anterior portal resulted in drainage of the cyst. No patient had presence of ACL cyst on follow-up MRI or recurrence of symptoms at a mean of 24 months. CONCLUSION: Intraligamentous cyst of ACL is a rare cause of knee pain. It should be suspected in patients having chronic pain with extremes of motion. Magnetic resonance findings are diagnostic and help to guide arthroscopy.- - - - - - - - - - ranking = 0.5keywords = motion (Clic here for more details about this article) |