Babu Chadalavada Aravind, Kareemulla Syed, Chadalavada Aditya, Kumar Naveen, Nutalapati Pranavi
Department of Orthopaedics and Traumatology, Amulya Nursing Home, Narasaraopet, Andhra Pradesh, India.
J Orthop Case Rep. 2024 Oct;14(10):188-191. doi: 10.13107/jocr.2024.v14.i10.4858.
A ganglion cyst is just an accumulation of gelatinous fluid in thick covering that develops from the capsules around tendons or joints . The cause is unknown; however, several suggestions have been put forth, including ectopic tissue development, synovial herniation, and trauma . The clinical symptoms differ based on the location. Management techniques such as non-operative, computed tomography-guided aspiration, open debridement, arthroscopic debridement, and decompression are advised.
Here, we report a 32-year-old man who had no history of severe trauma but had been complaining of knee flexion pain for the previous 3 years. There is no clinical laxity, and no additional injuries were observed. The patient had a magnetic resonance imaging (MRI) and an X-ray conducted. X-ray appears normal. The femur foot print location has a big cystic lesion seen on the MRI, located behind the ACL. No other anomalies are found.
Femoral ganglion cysts are frequently missed but can be diagnosed with the use of a clinical examination and a link between the clinical findings and MRI. The pain is reduced with arthroscopic cyst decompression.
腱鞘囊肿是指在厚包膜内积聚的胶冻样液体，由肌腱或关节周围的囊发展而来。病因不明，但已提出多种假说，包括异位组织发育、滑膜疝和创伤。临床症状因囊肿位置而异。建议采用非手术、计算机断层扫描引导下抽吸、切开清创、关节镜清创及减压等治疗技术。
在此，我们报告一名32岁男性，他没有严重创伤史，但在过去3年中一直抱怨膝关节屈曲时疼痛。临床上没有松弛现象，也未观察到其他损伤。对该患者进行了磁共振成像（MRI）和X线检查。X线检查结果正常。MRI显示在股骨足迹部位有一个大的囊性病变，位于前交叉韧带（ACL）后方。未发现其他异常。
股骨腱鞘囊肿常被漏诊，但通过临床检查以及临床发现与MRI之间的关联可作出诊断。关节镜下囊肿减压可减轻疼痛。
