Proximal tibiofibular joint synovial cyst--one pathology with three different presentations

Synovial cysts of the proximal tibiofibular joint are less common than synovial cysts of the knee joint but may present in a similar fashion and may be difficult to diagnose clinically. We report three cases of such synovial cysts: (1) the synovial cyst presented as an asymptomatic lump distal to la...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2006-09, Vol.14 (9), p.875-879
Main Authors: Mortazavi, S M Javad, Farzan, Mahmood, Asadollahi, Saeed
Format: Article
Language:English
Subjects:
Adult
Cysts
Feet
Gait Disorders, Neurologic - etiology
Gait Disorders, Neurologic - surgery
Humans
Joints
Knee Joint - innervation
Knee Joint - surgery
Knees
Legs
Magnetic Resonance Imaging
Male
Patients
Recovery
Recurrence
Sports
Surgery
Synovial Cyst - diagnosis
Synovial Cyst - surgery
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Summary:Synovial cysts of the proximal tibiofibular joint are less common than synovial cysts of the knee joint but may present in a similar fashion and may be difficult to diagnose clinically. We report three cases of such synovial cysts: (1) the synovial cyst presented as an asymptomatic lump distal to lateral joint line of the knee; (2) the synovial cyst presented as a mass fluctuating in size with intermittent symptoms; (3) a man with a large mass in proximal anterior leg and drop foot. The patients were operated. The first and the third patients were treated successfully without recurrence, and complete recovery of the proneal nerve in third case ensued. The synovial cyst recurred in the second case; however, the patient refused a second operation. Age distribution and clinical manifestation of extraneural proximal tibiofibular joint synovial cyst is discussed in the light of relevant literature.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-005-0021-6