Recurrent ganglion cyst in the anterolateral portal following knee arthroscopy.
Rebecca N MilesKyong MinPublished in: BMJ case reports (2024)
Ganglion cysts (GC) are an uncommon complication following arthroscopic knee surgery. Due to high rates of recurrence following GC resection, many symptomatic patients can experience pain and discomfort for years. The presence of a GC at the site of an arthroscopic knee portal has only been reported once before in the literature. This case report details the history, physical and treatment of an active-duty soldier who had undergone various aspirations and surgical resections with limited improvement until the most recent operative intervention. At 18 months postoperatively, the patient had not experienced recurrence and had returned to all activities. We believe this surgical technique yielded resolution of the GC because following resection, the joint was checked to exclude areas of fluid extravasation, the capsule closure was performed with non-absorbable barbed suture and the operative extremity was immobilised in extension for 2 weeks to promote soft tissue rest and healing.
Keyphrases
- anterior cruciate ligament reconstruction
- case report
- total knee arthroplasty
- soft tissue
- neuropathic pain
- end stage renal disease
- knee osteoarthritis
- chronic kidney disease
- ejection fraction
- anterior cruciate ligament
- minimally invasive
- systematic review
- newly diagnosed
- chronic pain
- physical activity
- randomized controlled trial
- rotator cuff
- free survival
- pain management
- mental health
- prognostic factors
- acute coronary syndrome
- spinal cord injury
- patient reported outcomes
- coronary artery disease
- optic nerve
- single molecule
- surgical site infection
- combination therapy
- optical coherence tomography
- replacement therapy
- preterm birth
- smoking cessation