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Orthopaedics
Recurrent ganglion cyst in the anterolateral portal following knee arthroscopy
  1. Rebecca McAllister1 and
  2. Kyong Min2,3
  1. 1Orthopaedic Surgery, Tripler Army Medical Center, Tripler Army Medical Center, Hawaii, USA
  2. 2Tripler Army Medical Center, Tripler Army Medical Center, Hawaii, USA
  3. 3Uniformed Services University of the Health Sciences F Edward Hébert School of Medicine, Bethesda, Maryland, USA
  1. Correspondence to Dr Kyong Min; kyong.s.min{at}gmail.com

Abstract

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.

  • Orthopaedics
  • Sports and exercise medicine
  • Knee injuries
  • Meniscal tears

https://doi.org/10.1136/bcr-2023-257683

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: RMcA and KM. The following authors gave final approval of the manuscript: RMcA and KM.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.