Hospital For Special Surgery: Ultrasound of the Month - Case 34

Clinical History •

32-year-old female professional dancer presents with ankle discomfort greatest with flexion of the great toe

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Based on clinical examination, pathology involving the flexor hallucis longus tendon is suspected and MRI was obtained

Ultrasound of the Month – Case 34

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Given the clinical and MRI findings, the clinician requested ultrasoundguided aspiration of the fluid collection to assess symptomatic relief

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Clinical Outcome •

Immediately following aspiration of the ganglion cyst, the patient was able to painlessly perform the ballet maneuvers and great toe flexion that had previously elicited discomfort

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As clinically indicated, cortisone injection into the ganglion could also be performed at the time of the initial cyst aspiration

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Due to the relatively high recurrence rate of ganglion cysts, the patient will be monitored clinically for evidence of symptom recurrence

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