Synovial cysts of the hip joint: a single-center experience
Abstract Background Synovial cyst of the hip joint is a rare clinical condition in need of evidence-based guidelines for its diagnosis and management. Normally, synovial cyst of the hip joint requires no treatment, but when it intrudes into surrounding structures, various clinical symptoms appear. B...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12893-018-0450-z |
| _version_ | 1818258532059840512 |
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| author | Jingjing Wang Jiang Shao Chenyang Qiu Yu Chen Bao Liu |
| author_facet | Jingjing Wang Jiang Shao Chenyang Qiu Yu Chen Bao Liu |
| author_sort | Jingjing Wang |
| collection | DOAJ |
| description | Abstract Background Synovial cyst of the hip joint is a rare clinical condition in need of evidence-based guidelines for its diagnosis and management. Normally, synovial cyst of the hip joint requires no treatment, but when it intrudes into surrounding structures, various clinical symptoms appear. Because of its rarity, a symptomatic synovial cyst is often confounded with a tumor as a space-occupying lesion or with other diseases, depending on its various clinical presentations. Therefore, guidelines for the precise diagnosis and appropriate management for synovial cyst of the hip joint are required. Methods We retrospectively studied 7 cases of symptomatic synovial cyst of the hip joint, some of which showed lower limb edema due to mass effect. We compared physical exam findings on presentation, imaging findings, and size and location of the cyst. Results All cases were managed successfully with surgical excision. We found that, instead of the size of the cyst, the location of the cyst was an important contributor to venous compression. The recurrence rate was 0%, and some patients have significantly long follow-up of 2 years, 4 years, 6 years and 10 years, respectively. Conclusions For symptomatic synovial cyst of the hip joint, surgical excision can successfully resolve the symptoms without recurrence. This retrospective study discusses the clinical presentations, diagnostic approaches, and surgical treatment of symptomatic synovial cyst of the hip joint, hence shedding more light on the clinical management of this condition. |
| first_indexed | 2024-12-12T18:01:02Z |
| format | Article |
| id | doaj.art-e41e3b4481e54ec3b2deb1fe82042088 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-12T18:01:02Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-e41e3b4481e54ec3b2deb1fe820420882022-12-22T00:16:36ZengBMCBMC Surgery1471-24822018-12-011811510.1186/s12893-018-0450-zSynovial cysts of the hip joint: a single-center experienceJingjing Wang0Jiang Shao1Chenyang Qiu2Yu Chen3Bao Liu4Department of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesDepartment of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical SciencesAbstract Background Synovial cyst of the hip joint is a rare clinical condition in need of evidence-based guidelines for its diagnosis and management. Normally, synovial cyst of the hip joint requires no treatment, but when it intrudes into surrounding structures, various clinical symptoms appear. Because of its rarity, a symptomatic synovial cyst is often confounded with a tumor as a space-occupying lesion or with other diseases, depending on its various clinical presentations. Therefore, guidelines for the precise diagnosis and appropriate management for synovial cyst of the hip joint are required. Methods We retrospectively studied 7 cases of symptomatic synovial cyst of the hip joint, some of which showed lower limb edema due to mass effect. We compared physical exam findings on presentation, imaging findings, and size and location of the cyst. Results All cases were managed successfully with surgical excision. We found that, instead of the size of the cyst, the location of the cyst was an important contributor to venous compression. The recurrence rate was 0%, and some patients have significantly long follow-up of 2 years, 4 years, 6 years and 10 years, respectively. Conclusions For symptomatic synovial cyst of the hip joint, surgical excision can successfully resolve the symptoms without recurrence. This retrospective study discusses the clinical presentations, diagnostic approaches, and surgical treatment of symptomatic synovial cyst of the hip joint, hence shedding more light on the clinical management of this condition.http://link.springer.com/article/10.1186/s12893-018-0450-zSynovial cystLower limb edemaSurgical excision |
| spellingShingle | Jingjing Wang Jiang Shao Chenyang Qiu Yu Chen Bao Liu Synovial cysts of the hip joint: a single-center experience BMC Surgery Synovial cyst Lower limb edema Surgical excision |
| title | Synovial cysts of the hip joint: a single-center experience |
| title_full | Synovial cysts of the hip joint: a single-center experience |
| title_fullStr | Synovial cysts of the hip joint: a single-center experience |
| title_full_unstemmed | Synovial cysts of the hip joint: a single-center experience |
| title_short | Synovial cysts of the hip joint: a single-center experience |
| title_sort | synovial cysts of the hip joint a single center experience |
| topic | Synovial cyst Lower limb edema Surgical excision |
| url | http://link.springer.com/article/10.1186/s12893-018-0450-z |
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