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Recurrent Intraosseous Ganglia in the Proximal Tibia Following Anterior Cruciate Ligament Reconstruction Using Patella Tendon Bone Autograft with a Titanium Interference Screw: A Case Report
並列摘要
Introduction: Intraosseous ganglia are benign cystic lesions and often multiloculated lesions located in the subchondral bone. These lesions are often asymptomatic but in cases located close to neurovascular structures or articular surfaces, they can be symptomatic, causing pain, neurologic dysfunction or articular fractures. We report a rare case of recurrent intraosseous ganglion following an anterior cruciate ligament (ACL) reconstruction in the proximal tibia. The ganglion developed after ten years of ACL reconstruction using patella tendon bone autograft fixed with a titanium interference screw. Initially the swelling mimicked the clinical and radiological features of a bone tumor. Case Report: A 40-year-old Caucasian male underwent ACL reconstruction using patella tendon bone graft and a titanium interference screw fixation in the tibia. After ten years of surgery he noticed a lump in the proximal tibia at the site of tibial screw. The radiological features were unremarkable. He had excision of the swelling along with screw removal. The swelling recurred again within six months. The lump was excised again and tibial tunnel bone grafted. After 4 weeks the lump reappeared, magnetic resonance imaging scan showed a large cystic lesion in the proximal tibia. After taking the advice from the oncologist, the lesion was curetted and bone grafted. The cyst went on to heal completely in six months time. Conclusion: The occurrence of intraosseous ganglion with absorbable interference screw has been reported. In our case report the intraosseous ganglion formed after using a titanium interference screw which has not been reported previously. It is also unique in the sense that the swelling recurred thrice and mimicked characteristics of a bone tumor.
延伸閱讀
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