title: Arthroscopic debridement and grafting of an intraosseous talar ganglion.
abstract: We report the case of a 41-year-old man with right ankle pain and swelling who had an intraosseous talar ganglion in the medial part of talar dome. A surgical procedure was performed using the 3-portal arthroscopic approach. The softened chondral surface was removed and the content of the cyst was discharged arthroscopically. The sclerotic rim was abraded until the bleeding spongious layer was seen. A grafting procedure was also performed arthroscopically. A trocar was introduced into the defect from the superomedial portal. Autografts were impacted using a cylindrical rod through the trocar into the defect. The clinical and radiologic results at the 1-year follow-up were satisfactory. We encountered no complications postoperatively. We conclude that arthroscopic debridement and grafting of an intraosseous ganglion adjacent to the articular surface may be a better option compared with open surgery.
authors.affiliation: Department of Orthopaedics and Traumatology, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey. mstfysl@hotmail.com
authors.forename: Mustafa
authors.initials: M
authors.lastname: Uysal
authors.forename: Sercan
authors.initials: S
authors.lastname: Akpinar
authors.forename: Metin
authors.initials: M
authors.lastname: Ozalay
authors.forename: Gurkan
authors.initials: G
authors.lastname: Ozkoç
authors.forename: Necip
authors.initials: N
authors.lastname: Cesur
authors.forename: Murat A
authors.initials: MA
authors.lastname: Hersekli
authors.forename: Reha N
authors.initials: RN
authors.lastname: Tandogan
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D003646:Debridement / Q000379:methods*; D045888:Ganglion Cysts / Q000601:surgery*; D006801:Humans; D008297:Male; D013628:Talus / Q000601:surgery*; D013977:Tibia / Q000637:transplantation*; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic