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Ganglion cysts at the gastrocnemius origin: a series of ten cases

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Abstract

Objective

To describe ganglion cysts arising close to the origin of the medial and lateral head of gastrocnemius as identified on magnetic resonance (MR) imaging.

Design and patients

We present a series of ten cases of ganglion cysts arising close to the gastrocnemius origin from the medial and lateral femoral condyles. These were collected over a 6-year period from our imaging database. All patients attended for routine MR imaging of the knee with a variety of clinical presentations. Data collected included patient demographics, ganglion size, ganglion site, clinical presentation and ancillary MR imaging findings. The ten patients in this series consisted of seven males and three females, five right and five left knees, age range 27–68 years, mean age 40.6 years.

Results

The mean maximal dimension of the ganglion cysts was 26 mm, range 15–40 mm. The medial gastrocnemius origin was involved in eight patients and the lateral origin in two patients. The MR imaging findings consisted of both uni- and multi-loculated cysts, often containing numerous septations with fluid signal characteristics. The cysts were extra-capsular with no clear communication with the joint. One patient presented with a popliteal soft tissue mass and none of the cases required surgical intervention for cyst removal.

Conclusions

MR imaging may identify ganglion cysts arising in an intra- or extra-articular site around the knee. This series documents the MR imaging characteristics of ganglion cysts arising close to the gastrocnemius origin and discusses the relevance of this imaging finding.

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References

  1. 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;12:123–9.

    Article  PubMed  CAS  Google Scholar 

  2. Recht MP, Applegate G, Kaplan P, et al. The MR appearance of cruciate ganglion cysts: a report of 16 cases. Skeletal Radiol 1994;23:597–600.

    Article  PubMed  CAS  Google Scholar 

  3. Bui-Mansfield LT, Youngberg RA. Intraarticular ganglia of the knee: prevalence, presentation, etiology, and management. AJR Am J Roentgenol 1997;168:123–7.

    PubMed  CAS  Google Scholar 

  4. Kim MG, Kim BH, Choi JA, et al. Intra-articular ganglion cysts of the knee: Clinical and MR imaging features. Eur Radiol 2001;11:834–40.

    Article  PubMed  CAS  Google Scholar 

  5. Tachibana Y, Ninomiya T, Goto T, Yamazaki K, Ninomiya S. Intra-articular ganglia arising from the posterior joint capsule of the knee. Arthroscopy 2004;20:54–9.

    Article  PubMed  Google Scholar 

  6. Kang CN, Kim DW, Kim DJ, Kim SJ. Intra-articular ganglion cysts of the knee. Arthroscopy 1999;15:373–8.

    Article  PubMed  CAS  Google Scholar 

  7. Angelides AC, Wallace PF. The dorsal ganglion of the wrist. Its pathogenesis, gross and microscopic anatomy and surgical treatment. J Hand Surg 1976;1:228–35.

    CAS  Google Scholar 

  8. Ilahi OA, Younas SA, Labbe MR, Edson SB. Prevalence of ganglion cysts originating from the proximal tibiofibular joint: A magnetic resonance imaging study. Arthroscopy 2003;19:150–3.

    Article  PubMed  Google Scholar 

  9. Damron TA, Rock MG. Unusual manifestations of proximal tibiofibular joint synovial cysts. Orthopedics 1997;20:225–30.

    PubMed  CAS  Google Scholar 

  10. Fang CSJ, McCarthy CL, McNally EG. Intramuscular dissection of Baker’s cysts: report on three cases. Skeletal Radiol 2004;33:367–71.

    Article  PubMed  Google Scholar 

  11. Tschirch FTC, Schmid MR, Pfirrmann CWA, Romero J, Hodler J, Zanetti M. Prevalence and size of meniscal cysts, ganglionic cysts, synovial cysts of the popliteal space, fluid-filled bursae, and other fluid collections in asymptomatic knees on MR imaging. AJR Am J Roentgenol 2003;180:1431–6.

    PubMed  Google Scholar 

  12. Burk DL, Dalinka MK, Kanal E, et al. Meniscal and ganglion cysts of the knee: MR evaluation. AJR Am J Roentgenol 1988;150:331–6.

    PubMed  Google Scholar 

  13. Kim JY, Jung SA, Sung MS, Park YH, Kang YK. Extra-articular soft tissue ganglion cyst around the knee: focus on the associated findings. Eur Radiol 2004;14:106–11.

    Article  PubMed  Google Scholar 

  14. Steiner E, Steinbach LS, Schnarkowski P, Tirman PFJ, Genant HK. Ganglia and cysts around joints. Radiol Clin North Am 1996;34:400–10.

    Google Scholar 

  15. Stone KR, Stoller D, De Carli A, Day R, Richnak J. The frequency of Baker’s cysts associated with meniscal tears. Am J Sports Med 1996;24:670–1.

    PubMed  CAS  Google Scholar 

  16. Rupp S, Seil R, Jochum P, Kohn D. Popliteal cysts in adults. Prevalence, associated intra-articular lesions, results after arthroscopic treatment. Am J Sports Med 2002;30:112–5.

    PubMed  Google Scholar 

  17. McCarthy CL, McNally EG. The MRI appearance of cystic lesions around the knee. Skeletal Radiol 2004;33:187–209.

    Article  PubMed  Google Scholar 

  18. Kessler I, Silberman Z. The development of popliteal cysts. An arthrographic study. Clin Orthop 1960;18:149–55.

    Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, RNOH Stanmore, Brockley Hill, Stanmore, Middlesex, HA7 4LP, UK

    S. L. J. James, D. A. Connell & A. Saifuddin

  2. Department of Radiology, Royal Orthopaedic Hospital, Birmingham, B31 2AP, UK

    S. L. J. James

  3. Department of Orthopaedic Surgery, Kingston Hospital NHS Trust, Galsworthy Road, Kingston Upon Thames, Surrey, KT2 7QB, UK

    J. Bell

Authors
  1. S. L. J. James
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  2. D. A. Connell
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  3. J. Bell
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  4. A. Saifuddin
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Correspondence to A. Saifuddin.

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James, S.L.J., Connell, D.A., Bell, J. et al. Ganglion cysts at the gastrocnemius origin: a series of ten cases. Skeletal Radiol 36, 139–143 (2007). https://doi.org/10.1007/s00256-006-0225-y

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  • DOI: https://doi.org/10.1007/s00256-006-0225-y

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