TAILIEUCHUNG - Báo cáo y học: " Large infrapatellar ganglionic cyst of the knee fat pad: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Large infrapatellar ganglionic cyst of the knee fat pad: a case report and review of the literature. | Nikolopoulos et al. Journal of Medical Case Reports 2011 5 351 http content 5 1 351 JOURNALOF medical LrCASE REPORTS CASE REPORT Open Access Large infrapatellar ganglionic cyst of the knee fat pad a case report and review of the literature 1 I 2 2 2 2 loannis Nikolopoulos George Krinas Dimitris Kipriadis Apostolos Ilias Andreas Giannakopoulos and Stephanos Kalos2 Abstract Introduction Large ganglionic cystic formations arising from the infrapatellar fat pad are quite uncommon and only a few are mentioned in the literature. An open excision in these cases is mandatory. Case presentation We report the case of a large infrapatellar fat pad ganglion in a 37-year-old Greek man with chronic knee discomfort. The ganglionic cyst originated from the infrapatellar fat pad and had no intrasynovial extension. The final diagnosis was determined with magnetic resonance imaging of the knee and the lesion was treated with surgery. Conclusions These lesions are asymptomatic in most cases but often are misdiagnosed as meniscal or ligamentous lesions of the knee joint. Nowadays the therapeutic trend for such lesions is arthroscopic excision but when there is a large ganglion as in this case report the treatment should be an open and thorough resection. This report is intended mostly but not exclusively for clinical physicians and radiologists. Introduction Cystic lesions around the knee are common. Of these popliteal cysts are the most frequently encountered. Other cystic lesions including meniscal or ganglion cysts are less common 1 2 . A ganglion by definition is a cystic swelling that is formed of myxoid matrix which gives the ganglion a jelly-like consistency and is lined with a pseudomembrane. Ganglia about the knee are rare and usually are located within the joint in juxtaposition to the joint or in the soft tissues around the joint within muscles tendons or nerves. Intra-articular small ganglia are often confused with meniscal cysts 3 . Many of .

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