Diz tendon ve bağlarından köken alan gangliyon kistleri: Klinik ve MRG bulguları
Küçük Resim Yok
Tarih
2004
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Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AMAÇ Bu çalışmada diz tendon ve bağlarından köken alan gangliyon kistlerinin klinik ve MRG bulguları araştırıldı. GEREÇ VE YÖNTEM Diz MRG yapılan 1620 olgu retrospektif olarak gözden geçirildi. Diz tendonları ve bağları ile ilişkili gangliyonu olan 23 olgu çalışmaya dahil edildi. Olguların klinik ve MRG bulguları araştırıldı. BULGULAR Taranan 1620 diz MRG’de 23 olguda (11 erkek, 12 kadın) diz tendonları ve bağları ile ilişkili gangliyon kisti tespit edildi. Tanımlanan lezyonlar ince cidarlı, düzgün veya lobüle konturlu, T2A sekanslarda hiperintens T1A sekanslarda kasa göre hafif hipointens sinyalliydi. Lezyonlar ön çapraz bağ (altı), arka çapraz bağ (altı), medial kollateral ligament (altı), lateral kollateral ligament (iki), transvers ligament (iki) ve patellar tendon ile ilişkiliydi. Rutin diz MRG yapılan olgular içerisinde dizin tendon ve bağlarından köken alan gangliyon kistlerinin sıklığı %1.4 bulundu. En sık klinik şikayet diz ağrısıydı. İki olguda dizin medialinde, bir olguda dizin lateralinde ve bir olguda da popliteal bölgede ele yumuşak kıvamlı kitle gelmekteydi. SONUÇ Diz tendon ve bağlarından köken alan gangliyon kistlerinin; lokalizasyonları, ince cidarlı kistler olması, T1 ve T2A sekanslarda su sinyalinde olması ve postkontrast görüntülerde ince halka şeklinde kontrast tutulumu nedeniyle MRG görünümü tipiktir. Ayırıcı tanıda menisküs kistleri, pigmente villonodüler sinovit ve sinovyal hemanjiyom düşünülmelidir.
PURPOSE: To investigate the clinical features and MR imaging findings of the ganglion cysts arising from the tendons and ligaments of the knee. MATERIALS AND METHODS: One thousand six hundred and twenty knee MR examinations that had been performed in a three-year period were evaluated retrospectively for the presence of ganglion cysts originating from tendons or ligaments. Clinical findings and MRI features of the lesions were noted. RESULTS: Twenty-three patients had a ganglion cyst originating from a tendon or a ganglion, with an incidence of 1.4%. Six lesions were associated with the anterior cruciate ligament, six with the posterior cruciate ligament, six with the medial collateral ligament, two with the lateral collateral ligament, two with the transverse ligament, and one with the patellar tendon. The most common clinical finding was knee pain. There were swelling at the medial side of the knee in two patients, swelling at the lateral side of the knee in one patient and swelling in the popliteal region in one patient. CONCLUSION: MR appearance of ganglion cysts arising from the tendons and ligaments of the knee is characteristic. Meniscal cysts, pigmented villonodular synovitis, and synovial hemangioma should be considered in the differential diagnosis.
PURPOSE: To investigate the clinical features and MR imaging findings of the ganglion cysts arising from the tendons and ligaments of the knee. MATERIALS AND METHODS: One thousand six hundred and twenty knee MR examinations that had been performed in a three-year period were evaluated retrospectively for the presence of ganglion cysts originating from tendons or ligaments. Clinical findings and MRI features of the lesions were noted. RESULTS: Twenty-three patients had a ganglion cyst originating from a tendon or a ganglion, with an incidence of 1.4%. Six lesions were associated with the anterior cruciate ligament, six with the posterior cruciate ligament, six with the medial collateral ligament, two with the lateral collateral ligament, two with the transverse ligament, and one with the patellar tendon. The most common clinical finding was knee pain. There were swelling at the medial side of the knee in two patients, swelling at the lateral side of the knee in one patient and swelling in the popliteal region in one patient. CONCLUSION: MR appearance of ganglion cysts arising from the tendons and ligaments of the knee is characteristic. Meniscal cysts, pigmented villonodular synovitis, and synovial hemangioma should be considered in the differential diagnosis.
Açıklama
Anahtar Kelimeler
Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Kaynak
Tanısal ve Girişimsel Radyoloji (Yeni Adı: Dİagnostic & Intervent. Radiol)
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
3
