A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler

Üstüner, Deniz; Asaid, Fatma; Pervaiz, Muhammad; Oligbu, Godwin

doi:10.1155/2020/1601348

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…In the adult population, popliteal cysts are more commonly associated with arthritic conditions or internal derangement within the knee joint. 13 However, in this particular case, the patient presented with a spontaneous rupture of the cyst, despite having no prior complaints. Therefore, it is important to consider that degenerative processes may also be present in cases without preceding symptoms.…”

Section: Discussionmentioning

confidence: 78%

Massive Ecchymosis on the Calf Caused by Ruptured Popliteal Cyst

TARİHÇİ ÇAKMAK

2023

J PMR Sci

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ABS TRACT Baker's cyst is a synovial cyst of the popliteal fossa. Baker's cyst rupture is a complication of Baker's cyst that should be diagnosed early and problems that may occur secondary to this complication should be prevented. If the cyst ruptures and extends into the calf, swelling, erythema, ecchymosis, distal edema, and a positive Homans sign may occur. Baker's cyst rupture may mimic thrombophlebitis or deep vein thrombosis. In this case report, the rupture of Baker's cyst, which was detected in a patient who presented with severe calf pain and massive ecchymosis on the calf, is presented. When a patient has extensive ecchymosis on the calf, it should be kept in mind that even though he or she has not previously been diagnosed with a Baker's cyst, the Baker's cyst may have ruptured and ruptured cyst may lead to complications such as compartment syndrome that require immediate intervention.

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Section: Discussionmentioning

confidence: 78%

Massive Ecchymosis on the Calf Caused by Ruptured Popliteal Cyst

TARİHÇİ ÇAKMAK

2023

J PMR Sci

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“…6 Because we are largely reliant on the reporting of rare anecdotal cases, the association of Baker's cysts in pediatric patients with rheumatic disease remains poorly recognized and understudied. [7][8][9][10][11][12][13]…”

Section: Discussionmentioning

confidence: 99%

Baker’s Cyst: A Harbinger of Systemic Joint Disease in Children

Tessier

Murphy

Peake

et al. 2023

Clin Pediatr (Phila)

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“…Most pediatric patients have primary popliteal cysts, and intra-articular trauma is rarely seen in these cases. 2 However, since intra-articular lesions cannot be completely ruled out by preoperative screening, the 16 pediatric patients admitted by our hospital due to popliteal cysts between June 2020 and June 2021 were treated with arthroscopic internal drainage (AID) plus cyst wall resection (CWR) via anterolateral (AL) and posteromedial (PM) portals, which is reported as follows.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic internal drainage of popliteal cysts with cyst wall resection in pediatric patients

Zhu¹,

Xiang²,

Shen³

et al. 2022

Pak J Med Sci

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Objectives: To evaluate the efficacy of arthroscopic internal drainage (AID) and cyst wall resection (CWR) in children with popliteal cysts. Methods: This study included 16 pediatric patients with popliteal cysts and received arthroscopy using the double posteromedial (PM) portal system during June 2020 and June 2021 at The General Hospital of Northern Theater Command. Among these pediatric patients, 14 were males and two were females, with the mean age of nine years (range: 7-12 years). The left knee was affected in 12 cases, while the right knee was involved in the rest four cases. All patients underwent MR imaging before the procedure to assess whether there was intra-articular trauma and whether the popliteal cyst communicated with the knee-joint cavity. The MRI results showed that each patient had a simple popliteal cyst that involved a single knee joint without intra-articular trauma, which was classified as Grade-1 (n=3), Grade-2 (n =10) or Grade-3 (n =3) according to the Rauschning and Lindgren grading of knee joint symptoms. Arthroscopy was performed through anterolateral (AL) and PM portals to the knee joint for AID plus CWR, and the surgical outcomes were evaluated based on the Rauschning and Lindgren criteria. Results: No major vascular or nerve injury occurred during the operation. Postoperative complications such as wound infection and lower-extremity deep venous thrombosis were not recorded in these patients. Complications involving the saphenous nerve or the great saphenous vein or pseudocyst formation were not observed during the follow-up period. All patients completed the follow-up ranging from 3-12 months and were identified to have grade-0 (n=15) and grade-1 (n=1) popliteal cysts based on the Rauschning and Lindgren criteria, indicating significant improvement compared with the preoperative levels (all p<0.05). Moreover, no recurrence was recorded after operation. Conclusion: AID plus CWR is a minimally invasive and safe approach for pediatric patients with popliteal cysts to promote postoperative recovery and reduce the recurrence rate. doi: https://doi.org/10.12669/pjms.38.8.5354 How to cite this:Zhu J, Xiang D, Yang S, Xiang L, Liu X. Arthroscopic internal drainage of popliteal cysts with cyst wall resection in pediatric patients. Pak J Med Sci. 2022;38(8):---------. doi: https://doi.org/10.12669/pjms.38.8.5354 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A Rare Case of Juvenile Idiopathic Arthritis following a Ruptured Baker’s Cyst in a Toddler

Cited by 3 publications

References 12 publications

Massive Ecchymosis on the Calf Caused by Ruptured Popliteal Cyst

Massive Ecchymosis on the Calf Caused by Ruptured Popliteal Cyst

Baker’s Cyst: A Harbinger of Systemic Joint Disease in Children

Arthroscopic internal drainage of popliteal cysts with cyst wall resection in pediatric patients

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