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Updated: May 13, 2026

Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach

Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach

Published on: October 20, 2023

Posttraumatic cysts after pediatric fracture.

Louis R Lewandowski¹, Mark D Murphey, Benjamin K Potter

¹Departments of Orthopaedics and Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.

Journal of Pediatric Orthopedics

|March 14, 2013

Summary

This summary is machine-generated.

Pediatric postfracture cystic bone lesions of the distal radius can be diagnosed without advanced imaging. Classic radiographic appearance and patient history are sufficient, avoiding unnecessary procedures.

Related Experiment Videos

Last Updated: May 13, 2026

Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach

Arthroscopic Excision of Posterior Cruciate Ligament Cysts Using a Double Posteromedial Approach

Published on: October 20, 2023

Area of Science:

Pediatric Radiology
Orthopedic Surgery
Medical Imaging

Background:

Pediatric postfracture cystic bone lesions are often incidentally discovered on follow-up radiographs of distal radius fractures.
The discovery frequently prompts discussions regarding further imaging or surgical intervention.

Observation:

A case series of 3 pediatric patients with healing distal radius fractures revealed incidentally diagnosed cystic lesions.
These lesions presented with classic radiographic features: well-circumscribed, non-sclerotic lytic areas within elevated periosteum.
Imaging characteristics were consistent with adipose tissue across T1, T2, and fat-suppressed sequences.

Findings:

Postfracture cystic lesions of the distal radius in children exhibit consistent radiographic characteristics.
These lesions are benign, lacking aggressive features like cortical erosion or surrounding sclerosis.
Adipose tissue is the likely composition, identifiable through standard MRI sequences.

Implications:

Advanced imaging modalities like MRI are unnecessary for diagnosing typical postfracture cystic lesions in pediatric distal radius fractures.
A clear history and classic radiographic appearance allow for confident diagnosis, reducing healthcare costs and patient/family stress.
Biopsies are not indicated unless lesions progress or exhibit atypical aggressive features.