Application of three-dimensional rendering in joint-related ganglion cysts

Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
Robert J SpinnerKimberly K Amrami

Abstract

The origin of para-articular cysts is poorly understood and controversial. The relatively common, simple (extraneural) cysts are presumed to be derived from joints, although joint connections are not always established. Rarer complex cysts are thought by many to form de novo within nerves (intraneural ganglion cysts) or within vessels (adventitial cysts) (degenerative theory). We believe that these simple and complex ganglion cysts are joint-related (articular theory). Joint connections are often not readily appreciated with routine imaging or at surgery. Not identifying and/or treating joint connections frequently leads to cyst recurrence. More sophisticated imaging may enhance visualization of these joint connections. We created a 3D rendering technique to assess potential joint connections of simple and complex cysts localized to the knee and superior tibiofibular joints in patients with fibular (peroneal) neuropathy. Two- and three-dimensional data sets from MRI examinations were segmented semiautomatically by signal intensity with further refinement based on interaction with the user to identify specific anatomic structures, such as small nerves and vessels on serial images. The bone, cysts, nerves, and vessels were each a...Continue Reading

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Citations

Jul 7, 2007·Neurosurgical Focus·Robert J SpinnerKimberly K Amrami
Jun 17, 2006·Journal of Neurosurgery·Robert J SpinnerJohn L D Atkinson
Jun 28, 2014·Journal of Vascular Surgery·Nicholas M Desy, Robert J Spinner
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Jan 23, 2016·Journal of Neurosurgery·Nicholas M DesyRobert J Spinner
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Dec 6, 2006·The Journal of Hand Surgery·Robert J Spinner, Kimberly K Amrami
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Jun 15, 2010·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Diogo CasalJoão G O'Neill
Aug 31, 2012·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Robert J SpinnerKimberly K Amrami
Sep 17, 2020·Hand : Official Journal of the American Association for Hand Surgery·Danielle H RochlinJeffrey Yao
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Jun 12, 2020·Skeletal Radiology·Najoi ChattThomas Kirchgesner
Jan 16, 2007·The Journal of Hand Surgery·Huan WangKimberly K Amrami

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Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
Robert J SpinnerKimberly K Amrami
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