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Excision of a Ganglion Arising from the Posterior Cruciate Ligament by an Arthroscopic Posterior Trans-Septal Approach. Case Report Tsuyoshi Ohishi 1 , Tetsuya Ichikawa 2 , Michihito Miyagi 3 , Akira Nagano 3 1Department of Orthopaedic Surgery, Enshu Hospital 2Department of Orthopaedic Surgery, Narita Memorial Hospital 3Department of Orthopaedic Surgery, Hamamatsu University School of Medicine Keyword: ガングリオン , ganglion , trans-septalアプローチ , trans-septal approach , 後十字靱帯 , posterior cruciate ligament pp.1161-1164
Published Date 2009/11/25
DOI https://doi.org/10.11477/mf.1408101630
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 Ganglions arising from the tibial side of the posterior cruciate ligament (PCL) are difficult to excise through the conventional anterior portals. We excised a PCL ganglion by using two portals posterior through a trans-septal portal. The patient was a 48-year-old male who complained of pain in the back of his right knee. Magnetic resonance imaging (MRI) showed a cystic mass behind the PCL that was low signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Arthroscopic examination of the posterior compartment through the trans-septal portal revealed expansion of the synovial surface of the PCL by yellowish mucinous fluid. The wall of the cyst was excised, and the pathological examination confirmed that the cystic lesion was compatible with a ganglion. Postoperative MRI revealed complete absence of the ganglion.


Copyright © 2009, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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