An unusual case of a vascular abnormality mimicking a lateral meniscal
cyst is reported. The patient was a 31-year-old active sportsman who
presented with intermittent pain over the lateral aspect of the left k
nee joint line, occurring only during activities involving twisting mo
tions such as playing soccer. He did not experience local tenderness o
r swelling, clicking, locking, or giving way. The magnetic resonance i
maging, which was done after a diagnostic arthroscopy with normal intr
a-articular findings, showed a cyst formation of approximately 4-mm di
ameter adjacent to the lateral meniscus periphery, but no meniscal tis
sue degeneration. Exactly at the preoperatively marked site of most in
tensive pain sensation during twisting motions, surgical exposure show
ed a venous-aneurysm-like tumor, which was removed. The operation resu
lted in complete relief of symptoms and undisturbed sporting activitie
s including soccer.