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一例罕见的股骨髁间区域骨膜囊肿病例报告。

A case report on rare occurrence of periosteal ganglion cyst in femoral intercondylar region.

作者信息

Vora Padmanabh H, Bhavsar Neel M, Musa Rameez, Trivedi Ajay, Amin Prarthan

机构信息

Department of Orthopaedics, Smt. N.H.L. Municipal Medical College, Ahmedabad, India.

出版信息

J Clin Orthop Trauma. 2018 Jun;9(Suppl 2):S44-S48. doi: 10.1016/j.jcot.2017.09.019. Epub 2017 Sep 29.

Abstract

Ganglions are the cysts derived from myxomatous degeneration of periarticular tissue, commonly found around wrist and foot. Ganglion cysts are uncommon in Knee region and if present their occurrence is mostly incidental and benign. Based on their location, this could be extraarticular or intraarticular. Lesions with similar pathology in subchondral region around joints are lesser common entity called Intraosseous ganglions. Rarer still is the lesion produced by myxomatous degeneration of periosteum of long bone, called periosteal ganglion. We here present a case of 35 year old Male with gradual onset, poorly localised pain behind left knee which was radiologically suggestive of periosteal ganglion, eroding the posterior aspect of femur and confirmed histopathologically following the excision of a lesion from posterior aspect of femoral condyles.

摘要

腱鞘囊肿是关节周围组织黏液样变性形成的囊肿,常见于手腕和足部周围。腱鞘囊肿在膝关节区域并不常见,若存在,其发生大多是偶然的且为良性。根据其位置,可分为关节外或关节内。关节周围软骨下区域具有类似病理的病变是较不常见的实体,称为骨内腱鞘囊肿。更罕见的是长骨骨膜黏液样变性产生的病变,称为骨膜腱鞘囊肿。我们在此报告一例35岁男性病例,该患者左膝后方逐渐出现、定位不清的疼痛,影像学检查提示为骨膜腱鞘囊肿,侵蚀股骨后侧,经切除股骨髁后侧病变后组织病理学检查得以确诊。

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本文引用的文献

1
Tibial periosteal ganglion cyst: The ganglion in disguise.胫骨骨膜腱鞘囊肿:伪装的腱鞘囊肿
Indian J Radiol Imaging. 2017 Jan-Mar;27(1):105-109. doi: 10.4103/0971-3026.202953.
2
Periosteal ganglia presenting as subcutaneous nodules on the tibia.表现为胫骨皮下结节的骨膜囊肿
JAMA Dermatol. 2014 Jun;150(6):663-4. doi: 10.1001/jamadermatol.2013.6352.
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Distal femoral intraosseous ganglia: cause or result of a degenerative process: 17-year follow-up of a case.
Musculoskelet Surg. 2011 Aug;95(2):147-50. doi: 10.1007/s12306-011-0113-z. Epub 2011 Mar 16.
6
Imaging features of intraosseous ganglia: a report of 45 cases.骨内腱鞘囊肿的影像学特征:45例报告
Eur Radiol. 2004 Oct;14(10):1761-9. doi: 10.1007/s00330-004-2371-8. Epub 2004 Jun 25.
7
Subperiosteal ganglion cyst of the tibia. A communication with the knee demonstrated by delayed arthrography.
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Periosteal ganglion of the tibia.胫骨骨膜囊肿
Skeletal Radiol. 1996 May;25(4):381-3. doi: 10.1007/s002560050099.
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Periosteal ganglion: a cause of cortical bone erosion.
Skeletal Radiol. 1983;10(4):243-6. doi: 10.1007/BF00357897.

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