Arthroscopic decompression and debridement for the treatment of anterior cruciate ligament ganglion cyst in a 45-year-old female
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20234062Keywords:
ACL ganglion cyst, Arthroscopic decompression and debridement, Knee pain, Review of literatureAbstract
Anterior cruciate ligament (ACL) cysts are infrequently encountered in clinical practice, with limited reported cases. These cysts usually present with chronic knee pain and clinical examination is usually unremarkable except for knee tenderness. Due to the lack of characteristic symptoms and deficiency of precise clinical techniques to diagnose the condition, timely diagnosis requires a high index of suspicion, supported by magnetic resonance imaging (MRI). Hence management of ACL ganglion cysts poses unique challenges for healthcare providers. We present a case study of a 45-year-old female with an ACL ganglion cyst successfully treated with arthroscopic decompression and debridement. This article outlines the clinical presentation, diagnostic workup, surgical intervention, and post-operative outcomes of this case, providing insights into the effective management of this uncommon condition. Furthermore, we provide a comprehensive review of the existing literature on ACL ganglion cyst, emphasizing findings and treatment outcomes reported in previous studies. This case underscores the importance of considering ACL cysts in the differential diagnosis of knee pain and discomfort. Early identification and appropriate management, such as arthroscopic cyst excision, can lead to favorable outcomes and complete recovery.
References
Mao Y, Dong Q, Wang Y. Ganglion cysts of the cruciate ligaments: a series of 31 cases and review of the literature. BMC Musculoskelet Disord. 2012;13:137.
Huang GS, Lee CH, Chan WP, Taylor JA, Hsueh CJ, Juan CJ, et al. Ganglion cysts of the cruciate ligaments: MR findings with clinical correlation. Acta Radiol. 2002;43(4):419-24.
Recht MP, Applegate G, Kaplan P, Dussault R, Schweitzer M, Dalinka MK, et al. The MR appearance of cruciate ganglion cysts: a report of 16 cases. Skeletal Radiol. 1994;23(8):597-600.
Andrikoula SI, Vasiliadis HS, Tokis AV, Kosta P, Batistatou A, Georgoulis AD. Intra-articular ganglia of the knee joint associated with the anterior cruciate ligament: a report of 4 cases in 3 patients. Arthroscopy. 2007;23(7):800.e1-6.
Yilmaz E, Karakurt L, Ozercan I, Ozdemir H. A ganglion cyst that developed from the infrapatellar fat pad of the knee. Arthroscopy. 2004;20(7):e65-8.
Jacobson JA, Lenchik L, Ruhoy MK, Schweitzer ME, Resnick D. MR imaging of the infrapatellar fat pad of Hoffa. Radiographics. 1997;17(3):675-91.
Bui-Mansfield LT, Youngberg RA. Intraarticular ganglia of the knee: prevalence, presentation, etiology, and management. AJR Am J Roentgenol. 1997;168(1):123-7.
Noda M, Kurosaka M, Maeno K, Mizuno K. Case report ganglion cysts of the bilateral cruciate ligaments. Arthroscopy. 1999;15(8):867-70.
Willis-Owen CA, Konyves A, Martin DK. Bilateral ganglion cysts of the cruciate ligaments: a case report. J Orthop Surg (Hong Kong). 2010;18(2):251-3.
Plotkin B, Agarwal VK, Varma R. Ganglion Cyst of the Anterior Cruciate Ligament. Radiol Case Rep. 2015;4(3):309.
Krudwig WK, Schulte KK, Heinemann C: Intra-articular ganglion cysts of the knee joint: a report of 85 cases and review of the literature. Knee Surg Sports Traumatol Arthrosc. 2004;12(2):123-9.
Sarimo J. Intra-articular cysts and ganglia of the knee: a report of nine patients. Knee Surg Sports Traumatol Arthrosc. 2005;13(1):44-7.
Parish EN, Dixon P, Cross MJ. Ganglion cysts of the anterior cruciate ligament: a series of 15 cases. Arthroscopy. 2005;21(4):445-7.
