Tibial periosteal ganglion cyst: The ganglion in disguise

Indian Journal of Radiology and Imaging

V Anil¹  Geetika Khanna²  Anjuna Reghunath³  Mahesh K Mittal³ 

[1] Department of Orthopedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India;Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India;Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India;

关键词: computed tomography;    magnetic resonance imaging;    myxomatous degeneration;    periosteal ganglion;    periosteal reaction;   

DOI  :  10.4103/0971-3026.202953

来源: DOAJ

【 摘 要 】

Soft tissue ganglions are commonly encountered cystic lesions around the wrist presumed to arise from myxomatous degeneration of periarticular connective tissue. Lesions with similar pathology in subchondral location close to joints, and often simulating a geode, is the less common entity called intraosseous ganglion. Rarer still is a lesion produced by mucoid degeneration and cyst formation of the periostium of long bones, rightly called the periosteal ganglion. They are mostly found in the lower extremities at the region of pes anserinus, typically limited to the periosteum and outer cortex without any intramedullary component. We report the case of a 62 year-old male who presented with a tender swelling on the mid shaft of the left tibia, which radiologically suggested a juxtacortical lesion extending to the soft tissue or a soft tissue neoplasm eroding the bony cortex of tibia. It was later diagnosed definitively as a periosteal ganglion in an atypical location, on further radiologic work-up and histopathological correlation.

【 授权许可】

Unknown