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Case Reports
. 2018 Mar 28:2018:bcr2018224395.
doi: 10.1136/bcr-2018-224395.

Intraosseous ganglion cyst of the distal tibia: a rare entity in a rarer location

Ashutosh Mohapatra  1 , Viral Patel  2 , Priyam Choudhury  3 , Mukesh Phalak  4
Affiliations
Case Reports

Intraosseous ganglion cyst of the distal tibia: a rare entity in a rarer location

Ashutosh Mohapatra et al. BMJ Case Rep. .

Abstract

Intraosseous ganglion cysts are rare entities, even rarer in the subchondral region of the distal tibia. A 20-year-old male presented to us with complaints of pain and limp in the right ankle joint, which was diagnosed as an intraosseous ganglion cyst of the right distal tibia and was successfully treated with curettage and bone cement with no recurrence seen even after a year.

Keywords: orthopaedics; radiology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Radiograph of right (anteroposterior and lateral views) ankle showing a well-defined lytic lesion over distal end of tibia just above the articular surface with well-demarcated rim of sclerotic bone.
Figure 2
Figure 2
MRI image sagittal GRE view showing a lesion with well-defined and lobulated margin measuring approximately 1.8 cm anterioposteriorly.
Figure 3
Figure 3
MRI coronal T2 view showing 1.6 cm lesion extending up to the subarticular region with erosion of the subchondral bone.
Figure 4
Figure 4
Cortical window being made (arrow).
Figure 5
Figure 5
Cyst excised of approximately 1.5 cm × 1.5 cm.
Figure 6
Figure 6
Cavity packed with bone cement (arrow).
Figure 7
Figure 7
Postopoperative radiograph (anteroposterior and lateral) showing the incorporation of bone cement at the defect.
See this image and copyright information in PMC

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