Amagami Ayano, Sugiyama Hajime, Tonotsuka Hisahiro, Saito Mitsuru
Department of Orthopedic Surgery, Kanagawa Rehabilitation Hospital, Kanagawa, Japan.
Department of Orthopedic Surgery, The Jikei University School of Medicine, Minatoku, Tokyo, Japan.
J Orthop Case Rep. 2022 Oct;12(10):74-77. doi: 10.13107/jocr.2022.v12.i10.3374.
Intra-articular ganglion in the hip joint is rare. Here, we present a case of ganglion cyst originating from the transverse acetabular ligament (TAL) in the hip joint treated by arthroscopic surgery.
A 48-year-old man presented with the right groin pain after activity. A cystic lesion was found on magnetic resonance imaging. Under arthroscopic view, a cystic mass was identified between the TAL and ligamentum teres that discharged yellowish viscous liquid after puncture. The remaining lesion was resected in its entirety. A diagnosis of ganglion cyst was consistent with the histological findings. The patient has had no recurrence on magnetic resonance imaging as of 6 years postoperatively and had no complaints at the 6-year follow-up visit.
Arthroscopic resection is useful for an intra-articular ganglion cyst in the hip joint.
髋关节内的关节囊肿罕见。在此，我们报告一例起源于髋关节横髋臼韧带（TAL）的腱鞘囊肿，通过关节镜手术进行治疗。
一名48岁男性在活动后出现右腹股沟疼痛。磁共振成像发现一个囊性病变。在关节镜下观察，在TAL和圆韧带之间发现一个囊性肿物，穿刺后流出淡黄色粘性液体。剩余病变被完整切除。腱鞘囊肿的诊断与组织学结果相符。截至术后6年，患者磁共振成像未发现复发，在6年随访时也无不适主诉。
关节镜下切除对髋关节内腱鞘囊肿有效。
