Cases reported "Bone Cysts"

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1/54. Intraosseous ganglion cysts of the ankle: a report of three cases with long-term follow-up.

    Three cases of intraosseous ganglion cysts of the ankle are presented with an average follow-up of 68 months (range, 48-78 months). review of the literature revealed 251 cases of intraosseous ganglion cysts, with 75 located in the ankle and a recurrence rate of 6.1%. In the three cases presented, a satisfactory long-term result was obtained with bone graft and curettage in two cases and currettage alone in one case. No recurrences or complications occurred.
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2/54. Painful intraosseous ganglion of the scaphoid overshadowed by thoracic outlet syndrome. Case report.

    We present a case of a woman diagnosed several years previously with thoracic outlet syndrome who had a 2-3 month history of worsening wrist pain. After an intraosseous ganglion was discovered, curettage and bone grafting successfully relieved her symptoms.
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3/54. Subperiosteal ganglion cyst of the tibia. A communication with the knee demonstrated by delayed arthrography.

    We report a patient with a subperiosteal ganglion cyst of the tibia which was imaged by radiography, arthrography, CT and MRI. The images were correlated with the arthroscopic surgical and histological findings. Spiculated formation of periosteal new bone on plain radiographs led to the initial suspicion of a malignant tumour. Demonstration of the cystic nature of the tumour using cross-sectional imaging was important for the precise diagnosis. communication between the ganglion cyst and the knee was shown by a delayed arthrographic technique, and the presence of this communication was confirmed at arthroscopy and surgically.
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4/54. Intraosseous ganglion of the trapezium in communication with the flexor carpi radialis tendon sheath.

    We report a case of an intraosseous ganglion of the trapezium that communicated with the flexor carpi radialis tendon sheath. The findings support the hypothesis that intraosseous ganglia arise from penetration of bone by synovial tissue or fluid.
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5/54. Intraosseous ganglion of the metatarsal bone.

    We describe a rare case of intraosseous ganglion arising in the metatarsal bone. Radiographs revealed an osteolytic lesion with a fracture in the third metatarsal bone. A biopsied specimen exhibited hyaline fibrous tissue with marked myxoid change. gadolinium-enhanced MRI, which revealed the network-like enhancement of the rim of the lesion and polycystic lesions adjacent to the joint, was helpful in making a diagnosis of intraosseous ganglion.
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6/54. Subperiosteal ganglion of the distal radius: a case report.

    We present an unusual case of a subperiosteal ganglion of the distal radius.
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7/54. Intraosseous ganglion of the triquetrum. A transpisiformal approach.

    A cystic subchondral bone defect without joint pathology is called an intraosseous ganglion. Most occur in the lower limb. In the wrist the scaphoid and lunate are most often involved. We report a case of an intraosseous ganglion within the triquetrum, treated by curettage and grafting with the pisiform that had been removed.
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8/54. Intraarticular knee ganglion: a case report of an unusual cause of limping in a 4-year-old.

    This report describes a 4-year-old boy who presented to the orthopaedic clinic with a primary complaint of limping and refusal to bear full weight on his right leg. An extensive evaluation revealed an intercruciate ganglion cyst of the knee. Diagnostic arthroscopy of the right knee was performed, and the cyst was aspirated and debrided. magnetic resonance imaging of the knee 3 months and 1 year postoperatively showed a small remnant of the cyst adjacent to the posterior cruciate ligament. At the most recent clinical examination, 13 months postoperatively, the patient was symptom free. To the best of our knowledge, this is the youngest patient in the literature to be diagnosed with an intraarticular knee ganglion.
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9/54. Massive intraosseous ganglion of the talus: reconstruction of the articular surface of the ankle joint.

    We report on the outcome after autologous chondrocyte and spongiosal bone transplantation in a case of a massive intraosseous ganglion of the talus in a young patient. A 24-year-old man suffered from decreased ankle joint motion, recurrent swelling, and pain. Diagnostic evaluation by plain radiographs, computed tomography, and magnetic resonance imaging revealed cystic lesions in the head and the body of the talus with additional involvement of the cartilage surface. Operative treatment consisted primarily of an initial diagnostic arthroscopy, which established grade VI articular damage according to the arthroscopic classification of Bauer and Jackson. Pathological examination of intralesional biopsy tissue revealed the existence of an intraosseous ganglion. Additionally, healthy cartilage biopsy specimens were obtained and sent for chondrocyte extraction and cultivation with 60 mL of autologous serum. To retain the function of the ankle joint and to minimize the number of necessary operative interventions, 3 weeks after the initial arthroscopic operation, we performed a simultaneous curettage of the cystic lesion followed by autologous spongiosal bone and cultivated chondrocytes transplantation of the talus. Continuous passive motion was applied postoperatively and full weight bearing was allowed after 8 weeks. There were no complications. The clinical result after 18 months was excellent, with a fully functional, pain-free, and weight-bearing ankle joint. The postoperative evaluation score of Finsen (modified Weber score) of 2/6 = 0.3 showed an improvement comparison with the preoperative value of of 21/6 = 3.5 (0 = normal, 4 = pathologic).We encountered no complications postoperatively. Clinical success was achieved by this method of treatment on a patient too young to be treated through arthrodesis.
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10/54. Nonoperative treatment of an interosseous ganglion cyst.

    ganglion cysts of the knee are being reported more frequently secondary to an increased rate of magnetic resonance imaging studies. Although knee pain is the impetus for imaging, ganglion cysts are often incidental findings. Nonoperative treatment is a successful therapeutic option. We report a patient with variable pain presentations over the course of her treatment. The pattern of complaints pointed to different primary etiologies about the knee, but all were common to an interosseous ganglion cyst. A stepwise assessment and expansion of the differential diagnosis allowed for appropriate utilization of modalities and limited morbidity with nonoperative therapy.
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