A pyogenic, ruptured Baker’s cyst induced by arthroscopic pressure pump irrigation

Corten, Kristoff; Vandenneucker, Hilde; Reynders, P; Nijs, Stefaan; Pittevils, Theo; Bellemans, Johan

doi:10.1007/s00167-008-0679-7

Cited by 10 publications

(13 citation statements)

References 39 publications

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“…The dissemination of septic arthritis to the popliteal cyst during arthroscopy has been described by Corten et al ,14 and has been related to the irrigation pump and the valve flow function of the cyst in flexion and extension of the joint. The same authors have proposed that immobilising the knee in extension may have contributed to the infected popliteal cyst as well.…”

Section: Discussionmentioning

confidence: 98%

“…However, taking into account that this is a very popular procedure worldwide, the total number of patients is certainly of concern (∼1100 septic knees in the series of Hame et al alone). Iatrogenic septic arthritis after arthroscopy must be considered, especially in patients in shock 9 10 14 15. Regarding the successful treatment of a septic knee, the pre-existence of a popliteal cyst, the duration of the operation, the number of procedures undertaken and the number of injections prior to the arthroscopic treatment, are considered factors affecting the outcome 12.…”

Section: Discussionmentioning

confidence: 99%

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Complicated septic arthritis after knee arthroscopy in a 75-year-old man with osteoarthritis and a popliteal cyst

Παπαδοπουλοσ¹,

Karachalios²,

Malizos³

et al. 2015

BMJ Case Reports

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SUMMARYA 75-year-old man presented in shock secondary to septic arthritis of the knee. The patient, with a known history of knee osteoarthritis, was treated elsewhere for mechanical locking symptoms and effusion with arthroscopic debridement, and developed septic arthritis, which disseminated to the leg and foot after a tear in the capsule, and a ruptured pyogenic popliteal cyst. Open debridement of the knee joint, and drainage of the abscesses of the leg and foot, were performed. Antibiotic-loaded cement beads were left in the residual space. Debridement was repeated and cement beads removed after 4 days, and finally the infection was eradicated without any serious consequences for the patient. There is debate over arthroscopic intervention for osteoarthritic knees. The presence of a popliteal cyst, which is a rather common finding in the latter, could be related to a significant number of complications, such as septic arthritis. BACKGROUND

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Complicated septic arthritis after knee arthroscopy in a 75-year-old man with osteoarthritis and a popliteal cyst

Παπαδοπουλοσ¹,

Karachalios²,

Malizos³

et al. 2015

BMJ Case Reports

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“…Baker's cyst was first reported by Adams in 1840, in detail by Baker in 1877, and in even more detail in various later articles. Infection of a Baker's cyst is very rare (21 reported cases) [3]. Most such infections developed in immunosuppressed patients, such as those with myelodysplastic syndrome, psoriasis, rheumatoid arthritis, or Epstein-Barr virus infection [2,4].…”

Section: Discussionmentioning

confidence: 99%

A potential risk factor of total knee arthroplasty: an infected Baker’s cyst – a case report

Lee¹,

Seo

Kim

et al. 2020

BMC Musculoskelet Disord

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Background: In adults, Baker's cyst development is attributable principally to secondary alterations after degenerative changes. The latter changes often accompany osteoarthritis, and we frequently encounter patients with Baker's cysts seeking total knee arthroplasty (TKA). Baker's cysts are not usually subject to extensive preoperative evaluation because the cysts often disappear naturally after surgery, unaccompanied by any adverse symptoms. Case presentation: A 63-year-old woman presented with moderate pain in the left knee joint that had developed 1 year ago. Posterior knee pain was aggravated on maximum knee flexion. Three months previously, a popliteal mass had become palpable and the patient had undergone needle mass aspiration twice in a local orthopedic hospital, but the mass had recurred. We initially considered TKA for her severe degenerative osteoarthritis. However, we decided to perform only arthroscopic debridement and cyst excision because the patient was experienced severe pain only on maximal knee flexion, and did not want TKA. Pus gushed from the torn cyst during the operation. We diagnosed an infected Baker's cyst. The patient was treated with a first-generation cephalosporin postoperatively. Conclusions: A Baker's cyst that was aspirated and still causes symptoms with altered blood tests needs to be evaluated accurately before TKA.

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“…After extensively searching in the literature, we found only four case reports with the two of them occurring after leakage of irrigation fluid into the extra-articular soft tissues due to rupture of the cyst during arthroscopy of the knee joint 11 12. The other two cases were both healthy middle-aged men with a Baker's cyst and spontaneous venous bleeding in the posterior leg compartment 13 14…”

Section: Discussionmentioning

confidence: 99%

Ruptured Baker's cyst with compartment syndrome: an extremely unusual complication

et al. 2012

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A 69-year-old man presented with sudden onset of pain with acute tense swelling of his left leg. Initially he was treated empirically with antibiotics for cellulitis while the possibility of deep vein thrombosis was ruled out. His symptoms gradually worsened with progressive distal neurological deficit and increasing pain. Further investigations suggested that he had a ruptured Baker's cyst in the calf with development of compartment syndrome.

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A pyogenic, ruptured Baker’s cyst induced by arthroscopic pressure pump irrigation

Cited by 10 publications

References 39 publications

Complicated septic arthritis after knee arthroscopy in a 75-year-old man with osteoarthritis and a popliteal cyst

Complicated septic arthritis after knee arthroscopy in a 75-year-old man with osteoarthritis and a popliteal cyst

A potential risk factor of total knee arthroplasty: an infected Baker’s cyst – a case report

Ruptured Baker's cyst with compartment syndrome: an extremely unusual complication

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