Successful conservative treatment for posterior cruciate ligament ganglion cyst; a simple approach to a very rare case: a case series

Authors

  • Yovi Maulana Department of Orthopaedics and Traumatology, Saiful Anwar General Hospital- Brawijaya University, Malang, Indonesia
  • Krisna Yuarno Phatama Department of Orthopaedics and Traumatology, Saiful Anwar General Hospital- Brawijaya University, Malang, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20214426

Keywords:

Conservative treatment, PCL ganglion, Rare case

Abstract

Posterior cruciate ligament (PCL) ganglion cyst is relatively uncommon compared to anterior cruciate ligament (ACL) ganglion cyst. The combined prevalence of all cruciate ganglion cyst (anterior and posterior combined) is ranging from 0.2%-1.9%. It is usually found as an incidental finding during MRI examination. PCL ganglion cyst may be asymptomatic, or it may present as variety of knee symptoms. To the authors’ knowledge, there is no consensus regarding its treatment. Previous case series suggest treatment of PCL ganglion by arthroscopic resection. However, in this case series, we present 4 cases of young patients with PCL ganglion cyst treated successfully by rest and bracing. After our series of conservative treatment, the patients reported satisfactory pain relief. This result suggests that symptomatic PCL ganglion cyst could be treated conservatively.

References

Mao Y, Dong Q, Wang Y. Ganglion cysts of the cruciate ligaments: A series of 31 cases and review of the literature. BMC Musculoskelet Disord. 2012;13:2-5.

Stein D, Cantlon M, Mackay B, Hoelscher C. Cysts about the knee: evaluation and management. J Am Acad Orthop Surg. 2013;21(8):469-479.

Shetty GM, Nha KW, Patil SP. Ganglion cysts of the posterior cruciate ligament. Knee. 2008;15(4):325-329.

Tie K, Wang H, Zhao X, Tan Y, Qin J, Chen L. Clinical manifestation and arthroscopic treatment of symptomatic posterior cruciate ligament cyst. J Orthop Surg Res. 2018;13(1):1-6.

Durante JA. Ganglion cyst on the posterior cruciate ligament: a case report. J Can Chiropr Assoc. 2009;53(4):334-8.

Andreozzi V, Monaco E, Conteduca F. Diagnosis and Treatment of a Symptomatic Posterior Cruciate Ganglion Cyst in a Child with Autism. Case Rep Orthop. 2019;2019:1-6.

Joo YB, Kim YM. Symptomatic Posterior Cruciate Ganglion Cyst Causing Impingement between Posterior Root of the Medial Meniscus and Anterior to the Posterior Cruciate Ligament. Knee Surg Relat Res. 2012;24(1):52-5.

Tsai T-Y, Yang Y-S, Tseng F-J. Arthroscopic excision of ganglion cysts of the posterior cruciate ligaments using posterior trans-septal portal. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc North Am Int Arthrosc Assoc. 2012;28(1):95-9.

Ahmed F, Ibrahim SA, Soliman A, Khirat S. Ganglion cyst of the posterior cruciate ligament. BMJ Case Rep. 2010;2010:bcr0920092263.

Nam D, Macaulay A, Cross M, Shindle MK, Warren RF. Posterior cruciate ligament resection for ganglion cyst and associated ligament degeneration. Am J Orthop (Belle Mead NJ). 2011;40(6):E110-4.

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Published

2021-10-28

How to Cite

Maulana, Y., & Phatama, K. Y. (2021). Successful conservative treatment for posterior cruciate ligament ganglion cyst; a simple approach to a very rare case: a case series. International Journal of Research in Medical Sciences, 9(11), 3424–3426. https://doi.org/10.18203/2320-6012.ijrms20214426

Issue

Section

Case Series