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| 22KS-005 |
Ultrasound-guided Aspiration of a Ganglion Cyst of Anterior Cruciate Ligament in Outpatient Clinic : Case report
Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine
Introduction
A ganglion cyst containing mucinous fluid commonly arises within tendon sheaths, muscles, or joint capsules. Percutaneous aspiration does not require a general anesthetic, has the advantage of a quicker recovery time and is cheap and relatively easy to perform.
We present a case where a symptomatic anterior cruciate ligament(ACL) ganglion cyst was successfully treated with ultrasound (US) -guided percutaneous aspiration, recurred after 6 months and was treated again in the same manner.
Case report
A 45-year-old woman presented to the hospital with posterior right knee pain after slipped down.
MRI demonstrated well circumscribed ACL ganglion cysts characterized by low signal intensity on Tl-weighted images and increased signal intensity on T2-weighted images within the intercondylar notch. This collection measured approximately 2.2 cm in maximal diameter and arose from within the ACL.
After discussing the risks, benefits, and alternatives, the patient elected to proceed with percutaneous needle aspiration of the ACL ganglion cyst under US guidance. Having confirmed the needle tip placement within the cyst, aspiration was commenced, 2.5 mL of straw-colored, jelly-like fluid was yielded.
The patient\'s symptoms improved immediately after the procedure and had no complications. Four weeks later, follow-up revealed that the patient\'s symptoms disappeared. Six months later, a recurrence of a ganglion cyst was confirmed on follow-up and treated in the same way.
Conclusion
Ultrasound-guided aspiration will be a very meaningful treatment option if the symptoms can be immediately resolved for a patient who has difficulty walking. This case not only showed advantages such as rapid recovery and relatively few side effects of US-guided percutaneous aspiration but also showed limitations such as recurrence.
Reference - 1. Kim RS, Kim KT, Lee JY, Lee KY. Ganglion cysts of the posterior cruciate ligament. Arthroscopy2003;19:e36-e40.
2. Sloane J, Gulati V, Penna S, Pastides P, Baghla DP. Large intra-articular anterior cruciate ligament ganglion cyst, presenting with inability to flex the knee. Case Rep Med2010;2010:705919.
A ganglion cyst containing mucinous fluid commonly arises within tendon sheaths, muscles, or joint capsules. Percutaneous aspiration does not require a general anesthetic, has the advantage of a quicker recovery time and is cheap and relatively easy to perform.
We present a case where a symptomatic anterior cruciate ligament(ACL) ganglion cyst was successfully treated with ultrasound (US) -guided percutaneous aspiration, recurred after 6 months and was treated again in the same manner.
Case report
A 45-year-old woman presented to the hospital with posterior right knee pain after slipped down.
MRI demonstrated well circumscribed ACL ganglion cysts characterized by low signal intensity on Tl-weighted images and increased signal intensity on T2-weighted images within the intercondylar notch. This collection measured approximately 2.2 cm in maximal diameter and arose from within the ACL.
After discussing the risks, benefits, and alternatives, the patient elected to proceed with percutaneous needle aspiration of the ACL ganglion cyst under US guidance. Having confirmed the needle tip placement within the cyst, aspiration was commenced, 2.5 mL of straw-colored, jelly-like fluid was yielded.
The patient\'s symptoms improved immediately after the procedure and had no complications. Four weeks later, follow-up revealed that the patient\'s symptoms disappeared. Six months later, a recurrence of a ganglion cyst was confirmed on follow-up and treated in the same way.
Conclusion
Ultrasound-guided aspiration will be a very meaningful treatment option if the symptoms can be immediately resolved for a patient who has difficulty walking. This case not only showed advantages such as rapid recovery and relatively few side effects of US-guided percutaneous aspiration but also showed limitations such as recurrence.
Reference - 1. Kim RS, Kim KT, Lee JY, Lee KY. Ganglion cysts of the posterior cruciate ligament. Arthroscopy2003;19:e36-e40.
2. Sloane J, Gulati V, Penna S, Pastides P, Baghla DP. Large intra-articular anterior cruciate ligament ganglion cyst, presenting with inability to flex the knee. Case Rep Med2010;2010:705919.
