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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2017; 27(01): 105-109
DOI: 10.4103/0971-3026.202953
Miscellaneous

Tibial periosteal ganglion cyst: The ganglion in disguise

Anjuna Reghunath
Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Mahesh K Mittal
Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
Geetika Khanna
Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
,
V Anil
Department of Orthopedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Soft tissue ganglions are commonly encountered cystic lesions around the wrist presumed to arise from myxomatous degeneration of periarticular connective tissue. Lesions with similar pathology in subchondral location close to joints, and often simulating a geode, is the less common entity called intraosseous ganglion. Rarer still is a lesion produced by mucoid degeneration and cyst formation of the periostium of long bones, rightly called the periosteal ganglion. They are mostly found in the lower extremities at the region of pes anserinus, typically limited to the periosteum and outer cortex without any intramedullary component. We report the case of a 62 year-old male who presented with a tender swelling on the mid shaft of the left tibia, which radiologically suggested a juxtacortical lesion extending to the soft tissue or a soft tissue neoplasm eroding the bony cortex of tibia. It was later diagnosed definitively as a periosteal ganglion in an atypical location, on further radiologic work-up and histopathological correlation.

Keywords

Computed tomography - magnetic resonance imaging - myxomatous degeneration - periosteal ganglion - periosteal reaction


Publication History

Article published online:
27 July 2021

© 2017. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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