Giant intraosseous ganglion of the fibula: multimodality imaging

Skeletal Radiol. 2020 Dec;49(12):2063-2067. doi: 10.1007/s00256-020-03489-7. Epub 2020 Jun 10.

Abstract

Intraosseous ganglia around the knee are most commonly located in the proximal tibia and limited to the epiphyseal-metaphyseal region. We report the case of a giant intraosseous ganglion of the fibula. MRI demonstrated the fluid avascular content of the lesion. CT arthrography of the knee demonstrated partial opacification of the lesion through a cortical bone defect. The lesion was treated with curettage and bone grafting. Anatomopathological examination confirmed the medical imaging diagnosis of intraosseous ganglion. This case highlights the value of joint opacification with CT arthrography to demonstrate the communication between the articular cavity and the ganglion.

Keywords: Bone; CT arthrography; Cyst; Ganglion; Intraosseous; Knee; MRI.

Publication types

  • Case Reports

MeSH terms

  • Arthrography
  • Bone Cysts* / diagnostic imaging
  • Bone Cysts* / surgery
  • Fibula* / diagnostic imaging
  • Fibula* / surgery
  • Humans
  • Multimodal Imaging
  • Tibia / diagnostic imaging
  • Tibia / surgery