Arthroscopic excision of ganglion cysts of the posterior cruciate ligaments using posterior trans-septal portal

Tsung Ying Tsai, Yu Sheng Yang, Feng Jen Tseng, Kun Yi Lin, Che Wei Liu, Hsain Chung Shen, Chian Her Lee, Leou Chyr Lin, Ru Yu Pan

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7 引文 斯高帕斯(Scopus)

摘要

To evaluate clinical outcomes of arthroscopic excision of ganglion cysts involving the posterior cruciate ligament (PCL) using the posterior trans-septal portal in the knee. A retrospective study was performed of 15 cases of ganglion cyst involving the PCL treated at our institution over a period of 4 years. All the cysts were diagnosed and had their location confirmed preoperatively by magnetic resonance imaging (MRI). All the cysts were excised arthroscopically through the posterior trans-septal portal. All patients were followed up with MRI evaluation at a mean of 36 months after surgery. In addition, International Knee Documentation Committee (IKDC) scores and range of motion (ROM) were obtained preoperatively and postoperatively simultaneously with MRI to assess the surgical outcomes. Most of the patients were male patients, and the mean age was 32 years. The most common presenting complaint was pain and difficulty in knee flexion. Preoperatively, the mean ROM was 3°to 110°and the mean IKDC score was 53 (range, 38 to 67; SD, 7.9). The location of the main cystic component was posterior to the PCL in 14 patients (93%) and anterior to the PCL in 1 patient (7%). After surgery, MRI evaluation at a mean follow-up time of 36 months showed no cyst recurrence. Postoperatively, the mean IKDC score was 91 (range, 70 to 99; SD, 9.3) and the mean ROM was 3°to 128°. Ganglion cysts associated with the PCL can cause knee pain and limitation of knee flexion. MRI evaluation is a noninvasive method of diagnosing PCL ganglion cysts. Arthroscopic excision through the posterior trans-septal portal is a good option for relieving pain and preventing cyst recurrence. Level IV, therapeutic case series.

原文英語
頁(從 - 到)95-99
頁數5
期刊Arthroscopy - Journal of Arthroscopic and Related Surgery
28
發行號1
DOIs
出版狀態已發佈 - 一月 2012

ASJC Scopus subject areas

  • 骨科和運動醫學

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