OBJECTIVE: Proximal tibiofibular joint proximal tibiofibular joint cysts are rare entities that can cause disability. Excision remains the traditional surgical treatment. Cyst recurrence has been a problem. This study reviews one of the largest series of patients with proximal tibiofibular joint cysts and evaluates the role of a new surgical option, proximal tibiofibular joint fusion. METHODS: Thirteen patients were admitted to the institution between 1987 and 1999. Diagnoses were confirmed by magnetic resonance imaging and histological examination. A database was compiled after medical record review. Patients completed a phone survey describing activity levels, symptom severity, recurrence history, and additional surgery. Average postoperative follow-up and average time to date of survey were 1.7 and 6.3 years, respectively. RESULTS: Patient complaints included lateral knee "fullness" (75%) and peroneal nerve dysesthesias (54%). Twelve patients opted for surgery: cyst excision (8) and cyst excision with proximal tibiofibular joint fusion (4). A recurrence rate of 13% (1 of 8) following primary excision was observed. A 100% (3 of 3) repeat recurrence rate was noted in second resections. Four patients underwent proximal tibiofibular joint fusion: 2 with a recurrence history and 2 for primary treatment. At follow-up, all fusion patients were without cyst recurrence or activity limitations. Procedure morbidity was minimal. CONCLUSIONS: Proximal tibiofibular joint cysts can recur after simple excision. Repeat resection after a recurrence is often not effective. Proximal tibiofibular joint arthrodesis appears to be a more effective surgical option after a recurrence.
OBJECTIVE: Proximal tibiofibular joint proximal tibiofibular joint cysts are rare entities that can cause disability. Excision remains the traditional surgical treatment. Cyst recurrence has been a problem. This study reviews one of the largest series of patients with proximal tibiofibular joint cysts and evaluates the role of a new surgical option, proximal tibiofibular joint fusion. METHODS: Thirteen patients were admitted to the institution between 1987 and 1999. Diagnoses were confirmed by magnetic resonance imaging and histological examination. A database was compiled after medical record review. Patients completed a phone survey describing activity levels, symptom severity, recurrence history, and additional surgery. Average postoperative follow-up and average time to date of survey were 1.7 and 6.3 years, respectively. RESULTS:Patient complaints included lateral knee "fullness" (75%) and peroneal nerve dysesthesias (54%). Twelve patients opted for surgery: cyst excision (8) and cyst excision with proximal tibiofibular joint fusion (4). A recurrence rate of 13% (1 of 8) following primary excision was observed. A 100% (3 of 3) repeat recurrence rate was noted in second resections. Four patients underwent proximal tibiofibular joint fusion: 2 with a recurrence history and 2 for primary treatment. At follow-up, all fusion patients were without cyst recurrence or activity limitations. Procedure morbidity was minimal. CONCLUSIONS: Proximal tibiofibular joint cysts can recur after simple excision. Repeat resection after a recurrence is often not effective. Proximal tibiofibular joint arthrodesis appears to be a more effective surgical option after a recurrence.
Authors: João Espregueira-Mendes; Hélder Pereira; Nuno Sevivas; Pedro Varanda; Manuel Vieira da Silva; Alberto Monteiro; Joaquim M Oliveira; Rui L Reis Journal: Knee Surg Sports Traumatol Arthrosc Date: 2012-01-28 Impact factor: 4.342
Authors: Gabriel Lateur; Regis Pailhé; Ramsay Refaie; Brice Rubens-Duval; Vincent Morin; Mehdi Boudissa; Dominique Saragaglia Journal: Int Orthop Date: 2017-07-12 Impact factor: 3.075