J Korean Hip Soc.  2011 Sep;23(3):225-228. 10.5371/jkhs.2011.23.3.225.

Ganglion Cyst in Acetabular Fossa of the Hip Joint: Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Korea. hananina@dreamwiz.com
  • 2Department of Orthopedic Surgery, Chung Hospital, Seongnam, Korea.

Abstract

Ganglions commonly occur on the hand, wrist, knee, ankle and foot, with occasional development around the hip joint. Ganglion in the acetabular fossa is rare. We present a case of a ganglion in the acetabular fossa of the hip with treatment.

Keyword

Hip joint; Acetabular fossa; Ganglion

MeSH Terms

Animals
Ankle
Foot
Ganglion Cysts
Hand
Hip
Hip Joint
Knee
Wrist

Figure

  • Fig. 1 On the (A) anteroposterior view and (B) frog-lateral view, showing the negative finding except widening of the joint space.

  • Fig. 2 Preoperative images (A) axial T2-weighted image shows high-signal intensity within acetabular fossa (arrow) at the hip, (B) axial T1-weighted image at the same level shows low or intermediate-signal intensity, (C) axial T2-weighted image slightly inferior to the panels A and B shows fluid extending distally within acetabular fossa, (D) axial T1-weighted image shows more distal acetabular fossa (E) coronal T2-weighted image shows a well defined lobulated contoured lesion displaying high-signal intensity (F) coronal T1-weighted image shows extent of the cyst from acetabular fossa to acetabular notch.

  • Fig. 3 With X-ray image intensifier, aspiration of the cyst using 18 gauge bore needle.

  • Fig. 4 The gelatinous content (≒3 cc) was allowed to escape through the wide bore needle.

  • Fig. 5 (A) Coronal T1-weighted, (B) axial T1-weighted and (C) coronal T2-weighted, (D) axial T2-weighted at 1 year after aspiration, lobulated lesion was disappeared.


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