This patient had a cystic lesion of 2.5 cms at lateral aspect of elbow.
The most likely diagnosis: ganglion cyst elbow.
A ganglion cyst is a noncancerous lump or mass that usually forms near a joint or tendon in the body. It is filled with fluid and can vary in size, from a pea-sized bump to a larger, more noticeable mass.
When a ganglion cyst is located on the lateral aspect of the elbow, it is often referred to as a radial or lateral epicondylar cyst. This type of cyst typically forms near the lateral epicondyle of the humerus bone in the elbow joint
Important points about ganglion cyst elbow:
- Ultrasound is an effective imaging modality for detecting ganglion cysts in the elbow joint.
- Ganglion cysts appear as hypoechoic, fluid-filled sacs that are often adjacent to the joint capsule or tendon sheath.
- The cysts are typically oval or round in shape and have well-defined borders.
- Ganglion cysts in the elbow are most commonly found in the posterior aspect of the joint, near the olecranon process.
- Differential diagnoses for elbow joint cysts include synovial cysts, bursitis, and rheumatoid nodules.
- Synovial cysts appear as anechoic or hypoechoic fluid-filled sacs within the joint capsule.
- Bursitis typically presents as a hypoechoic or anechoic swelling within the bursa, often with increased vascularity.
- Rheumatoid nodules are solid masses with variable echogenicity and irregular borders, often associated with rheumatoid arthritis.
- Clinical correlation and further imaging studies may be necessary to confirm the diagnosis of ganglion cyst and rule out other potential causes of elbow joint cysts.
- Aspiration findings: Aspiration of the cyst with a needle may be performed to remove fluid from the cyst and alleviate symptoms. The aspirated fluid may be clear or slightly cloudy, and may contain debris or synovial cells.
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