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Peer-reviewedCC BY-NC-ND 4.0Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology

Ganglion cyst of the posterior cruciate ligament associated with osteochondritis dissecans of the medial femoral condyle: A case report

  1. 1Department of Orthopedic Surgery, Fujinomiya City General Hospital, 3-1 Nishiki-cho, Fujinomiya, Shizuoka, 418-0076, Japan
  2. 2Department of Orthopedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan

Abstract

Ganglion cysts arising from the posterior cruciate ligament (PCL) of the knee are rare, and their aetiology remains unknown. In this case, we found a ganglion cyst of the PCL concomitant with osteochondritis dissecans (OCD) of the medial femoral condyle (MFC). We presume that unstable OCD fragments of the MFC repeatedly irritate the PCL fibres connected to the lesion, and that this repetitive minor trauma and subsequent continuous tissue reaction may account for the development of a ganglion cyst of the PCL. We thus performed arthroscopic excision of the ganglion cyst of the PCL and OCD lesion, and osteochondral autograft transplantation. No ganglion recurrence was observed on magnetic resonance imaging at 12 months postoperatively and no symptom recurrence was observed during the final follow-up at 24 months postoperatively. We thus speculate that the pathogenesis of ganglion cysts in the cruciate ligament involves repetitive minor trauma and a subsequent continuous tissue reaction.

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BibTeX
@article{naraoka2026ganglion,
  title = {{Ganglion cyst of the posterior cruciate ligament associated with osteochondritis dissecans of the medial femoral condyle: A case report}},
  author = {Takuya Naraoka and Hikaru Soneda and So Morioka and Yukihiro Matsuyama},
  journal = {Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology},
  year = {2026},
  month = oct,
  doi = {10.1016/j.asmart.2026.10.006},
  url = {https://doi.org/10.1016/j.asmart.2026.10.006},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Ganglion cyst of the posterior cruciate ligament associated with osteochondritis dissecans of the medial femoral condyle: A case report
AU  - Takuya Naraoka
AU  - Hikaru Soneda
AU  - So Morioka
AU  - Yukihiro Matsuyama
PY  - 2026
DA  - 2026/10/27
JO  - Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
DO  - 10.1016/j.asmart.2026.10.006
UR  - https://doi.org/10.1016/j.asmart.2026.10.006
AB  - Ganglion cysts arising from the posterior cruciate ligament (PCL) of the knee are rare, and their aetiology remains unknown. In this case, we found a ganglion cyst of the PCL concomitant with osteochondritis dissecans (OCD) of the medial femoral condyle (MFC). We presume that unstable OCD fragments of the MFC repeatedly irritate the PCL fibres connected to the lesion, and that this repetitive minor trauma and subsequent continuous tissue reaction may account for the development of a ganglion cyst of the PCL. We thus performed arthroscopic excision of the ganglion cyst of the PCL and OCD lesion, and osteochondral autograft transplantation. No ganglion recurrence was observed on magnetic resonance imaging at 12 months postoperatively and no symptom recurrence was observed during the final follow-up at 24 months postoperatively. We thus speculate that the pathogenesis of ganglion cysts in the cruciate ligament involves repetitive minor trauma and a subsequent continuous tissue reaction.
SN  - 2214-6873
ER  -