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Intra-Articular Ganglion Cysts of the Knee Publisher Pubmed



Vosoughi F1 ; Kaseb MH1 ; Malek M2 ; Toofan H1 ; Mortazavi SMJ1
Authors
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Authors Affiliations
  1. 1. Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Radiology, Medical Imaging Center Complex, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: JBJS Reviews Published:2022


Abstract

Magnetic resonance imaging (MRI) without contrast is sufficient to diagnose an intra-articular ganglion cyst of the knee. MRI with intravenous contrast may be considered for cysts in the infrapatellar fat pad, which are not a typical presentation.The current literature supports treating symptomatic cases or those discovered accidently during knee arthroscopy with arthroscopic excision.Although aspiration of these cysts results in a higher recurrence rate than excision, it is associated with quicker recovery. Thus, aspiration might be chosen as an initial treatment for anyone who would like to avoid surgery or requires a rapid recovery, including professional athletes.Open excision may be considered for infrapatellar fat pad cysts that are >4.5 cm in size. © 2022 Journal of Bone and Joint Surgery Inc.. All rights reserved.