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✅ Knee MRI Mastery/Chap 2.ACL and PCL

(Fig 2-A.09) Cruciate or Intercondylar notch cysts, ACL ganglion cyst

by MSK MRI 2024. 2. 16.

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★ Cruciate or Intercondylar Notch Cysts ★

1️⃣ Definition:

Intercondylar notch or ganglion cysts of the ACL, also known as cruciate cysts, are pathological formations that can arise both on the surface and within the Anterior Cruciate Ligament (ACL) substance.

2️⃣ Location:

These cysts are typically found in the middle and proximal portions of both the ACL and the Posterior Cruciate Ligament (PCL), highlighting their potential to affect critical structures within the knee joint.

3️⃣ Clinical Implications:

📌 Pressure Erosion: The cysts may produce pressure erosion of the adjacent lateral femoral condyle, a condition that could be symptomatic and present with pain, especially during joint loading activities.

4️⃣ Association with Injuries:

A potential association between these cysts and ACL injuries and other intraarticular joint pathologies indicates a need for careful diagnostic evaluation.

5️⃣ Incidental Findings:

In some cases, cruciate or intercondylar notch cysts may present as incidental findings during imaging for unrelated conditions, suggesting a varied clinical significance.

 

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