Document Detail


Aggressive proximal tibio-fibular joint ganglion cyst after a total knee arthroplasty--a case report.
MedLine Citation:
PMID:  18558489     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although the knee is a common location, a ganglion cyst arising from the proximal tibio-fibular joint (PTFJ) is relatively rarer. Unique diagnostic and management difficulties are encountered as these can extend into subcutaneous tissue, or spread along peroneal muscles and nerve, or erode adjacent bone. We report here a PTFJ ganglion cyst which was indolent for at least 12 years and then caused destructive and expansile changes in the fibula over a period of 6 years after a total knee arthroplasty (TKA), simulating a malignancy. Although no wear or foreign body reaction could be shown, this alarming progression of a PTFJ ganglion cyst in the fibula after the TKA is a noteworthy association, and has not been recognized and reported before. Awareness of such a lesion can aid in the diagnosis and prevent unnecessary aggressive management.
Authors:
Aditya V Maheshwari; Carlos A Muro-Cacho; H Thomas Temple
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-06-16
Journal Detail:
Title:  The Knee     Volume:  15     ISSN:  0968-0160     ISO Abbreviation:  Knee     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-08     Completed Date:  2008-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9430798     Medline TA:  Knee     Country:  England    
Other Details:
Languages:  eng     Pagination:  411-5     Citation Subset:  IM    
Affiliation:
Division of Musculoskeletal Oncology, Department of Orthopedics, University of Miami Miller School of Medicine, Cedars Medical Center, Suite 4036 E, 1400 NW 12th Ave Miami, FL 33136 USA. adi_maheshwari@rediffmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthroplasty, Replacement, Knee / adverse effects*
Diagnosis, Differential
Fibula
Ganglion Cysts / diagnosis,  etiology*,  surgery
Humans
Joint Diseases / diagnosis,  etiology*,  surgery
Knee Joint / pathology*
Magnetic Resonance Imaging
Male
Postoperative Complications
Tibia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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