Vora Padmanabh H, Bhavsar Neel M, Musa Rameez, Trivedi Ajay, Amin Prarthan
Department of Orthopaedics, Smt. N.H.L. Municipal Medical College, Ahmedabad, India.
J Clin Orthop Trauma. 2018 Jun;9(Suppl 2):S44-S48. doi: 10.1016/j.jcot.2017.09.019. Epub 2017 Sep 29.
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.
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。