Pretibial ganglion-like cyst

Case contributed by Dr Maulik S Patel

Presentation

A case of anterior cruciate ligament reconstruction done about 2 years back. Complaining of a painful nodule for 1 month. The nodule is located at the site of previous surgical skin scar overlying proximal medial aspect of the tibia. History of increase as well as a decrease in nodule size.

Patient Data

Age: 20 yrs
Gender: Female
X-ray

Post anterior cruciate ligament reconstruction status. There is no fracture/dislocation.

Ultrasound

At the site of swelling pointed by the patient, there is a well-defined anechoic cyst with septa; abutting tibial cortex at the site of the bone tunnel. There are no mobile echoes within. There is no periosteal reaction. There is no hypervascularity. There was no supra-patellar recess effusion.

Case Discussion

This is a case of anterior cruciate ligament reconstruction done about 2 years back. Clinically, there is no laxity of ligament / surgical procedure failure. The patient developed nodule at the pretibial region at the site of the previous surgical scar. Ultrasound shows a ganglion-like cyst from the bone tunnel in the tibia.

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Case information

rID: 57403
Published: 29th Dec 2017
Last edited: 2nd Jan 2018
Inclusion in quiz mode: Included

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