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Value of computed tomography arthrography with delayed acquisitions in the work-up of ganglion cysts of the tarsal tunnel: report of three cases

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Abstract

Ganglion cysts are a common cause of tarsal tunnel syndrome. As in other locations, these cysts are believed to communicate with neighboring joints. The positive diagnosis and preoperative work-up of these cysts require identification and location of the cyst pedicles so that they may be excised and the risk of recurrence decreased. This can be challenging with ultrasonography and magnetic resonance (MR) imaging. We present three cases of symptomatic ganglion cysts of the tarsal tunnel, diagnosed by MR imaging, where computed tomography (CT) arthrography with delayed acquisitions helped to confirm the diagnosis and identify precisely the topography of the communication with the subtalar joint. These cases provide new evidence of the articular origin of ganglion cysts developing in the tarsal tunnel.

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Authors and Affiliations

  1. Department of Medical Imaging, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Avenue Hippocrate 10/2942, 1200, Brussels, Belgium

    Patrick Omoumi, Jacques Malghem, Paolo Simoni, Bruno C. Vande Berg & Frédéric E. Lecouvet

  2. Department of Orthopedics, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium

    Antoine de Gheldere & Thibaut Leemrijse

  3. Department of Pathology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium

    Christine Galant

  4. Department of Neurology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium

    Peter Van den Bergh

  5. Department of Medical Imaging, Centre Hospitalier Universitaire de Tours, Tours, France

    Patrick Omoumi

Authors
  1. Patrick Omoumi
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  2. Antoine de Gheldere
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  3. Thibaut Leemrijse
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  4. Christine Galant
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  5. Peter Van den Bergh
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  6. Jacques Malghem
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  7. Paolo Simoni
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  8. Bruno C. Vande Berg
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  9. Frédéric E. Lecouvet
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Correspondence to Frédéric E. Lecouvet.

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Omoumi, P., de Gheldere, A., Leemrijse, T. et al. Value of computed tomography arthrography with delayed acquisitions in the work-up of ganglion cysts of the tarsal tunnel: report of three cases. Skeletal Radiol 39, 381–386 (2010). https://doi.org/10.1007/s00256-009-0864-x

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  • DOI: https://doi.org/10.1007/s00256-009-0864-x

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