Imaging diagnosis of the juxta-articular bone cyst
- VernacularTitle:邻关节骨囊肿的影像诊断
- Author:
Zekun ZHANG
;
Jinjun PEN
;
Dongmei WANG
;
Wei ZHANG
;
Jianping DING
;
Yang DING
- Publication Type:Journal Article
- Keywords:
Bone cyst;
Joints;
Radiography;
Tomography,X-ray computed;
Magneticresonance imaging
- From:
Chinese Journal of Radiology
2008;42(11):1147-1150
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the imaging features of the juxta-artieular bone cyst (intraosseous ganglia). Methods The imaging findings of 54 cases histopathologically confirmed were studied retrospectively. X-ray, CT, and MRI were performed in 46 eases,30 cases, and 14 cases, respectively.Results Of the 54 cases, 27 arised from the ankle (including multiple lesions), 16 from the knee joint,7 from the hip joint, 1 from the proximate end of the humerus, ulna, trapezium bone, the first phalange in each, and 1 from the talus and the distal end of the tibia. There were 43 eases (44 lesions) in the ankle and knee joints, with 29 (65.9%) lesions located in the medial articular surface. Fifty-four eases had thinning sclerotic rim, showing a unilocular round osteolytic appearance in 44 cases and a muhiloculated-cystic appearance with septa in 10 cases. Discontinuous articular surface were seen in 15 cases, articular surface collapse in 1, gas density in 3 and fluid-fluid plane in 1. (1) On x-ray films, 46 cases (47 lesions) with well-defined sclerotic rim revealed round, arch or irregular lyric areas at the adjacent articular surface. The fissures were found at the adjacent articular surface in 6 lesions. No joint spaces were abnormal. (2)On CT,30 cases with sclerotic rim showed round in 19 lesions, arch in 3, and irregular in 8. The fissures were seen at the adjacent articular surface in 14 lesions. The density showed homogeneous in 27 lesions, and gas existed in 3. (3) Fourteen cases (15 lesions)showed hypointense to isointense signal on MR T1 Wl and hyperintense signal on T2WI. Fluid- fluid plane was found in 1 ease. The fissures were observed at the adjacent articular surface in 8 lesions. 7 cases showed swelling soft tissue. Conclusion The characteristic locations combined with the typical imaging features may suggest the diagnosis of jaxta-articular bone cyst.
