Cutaneous manifestation of ruptured popliteal cyst

Vela, Paloma; Pascual, Eliseo; Ronan, James A.; Rosas, Jose Armando Alvarado

doi:10.1007/bf02208705

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…27 Discoloration or ecchymosis in the calf, at the medial malleolus, or on the dorsum of the foot is a distinguishing feature of a ruptured cyst because bloody synovial cyst fluid dissects inferiorly. [28][29][30] Caution is advised because giving a patient with a ruptured popliteal cyst anticoagulants for suspected DVT may lead to increased bleeding from the cyst and has resulted in compartment syndrome. 13 Compartment syndrome has also been reported in the case of a ruptured popliteal cyst without previous treatment with anticoagulation, but it may have been the result of mechanical and pharmacologic factors specific to that case.…”

Section: Clinical Presentationmentioning

confidence: 99%

Popliteal Cysts: A Current Review

Herman¹,

Marzo²

2014

Orthopedics

109

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Baker's cyst, or popliteal cyst, is a fluid-filled mass that is a distention of a preexisting bursa in the popliteal fossa, most commonly the gastrocnemio-semimembranosus bursa. This bursa is unique in that it communicates with the knee joint, unlike other periarticular bursae, via an opening in the joint capsule posterior to the medial femoral condyle. Many have theorized that this opening creates a valve-like mechanism in the presence of effusion that contributes to the formation of these cysts in adults. Popliteal cysts rarely manifest alone and are most often found in conjunction with other intra-articular pathologies and inflammatory conditions, such as osteoarthritis, meniscus tears, and rheumatoid arthritis. In children, popliteal cysts are only occasionally associated with these conditions and are more often an incidental finding discovered during a routine physical examination. Popliteal cysts may present as either a chronically persistent or relapsing condition or as an acute and dramatic condition that can occur in the case of cyst rupture presenting as pseudothrombophlebitis. Ultrasound and magnetic resonance imaging have proven to be consistent and accurate in the confirmation of popliteal cysts, with magnetic resonance imaging becoming the modern imaging modality of choice. This review discusses the anatomy and etiology of popliteal cysts, describes the common clinical presentations, reviews the differential diagnoses, and provides guidance for proper diagnostic imaging. It also provides a comparison of current conservative, minimally invasive, and invasive treatment options, along with a discussion of results. Postoperative rehabilitation depends largely on the condition associated with the popliteal cyst.

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Section: Clinical Presentationmentioning

confidence: 99%

Popliteal Cysts: A Current Review

Herman¹,

Marzo²

2014

Orthopedics

109

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“…Baker's cysts (or popliteal cysts) are common and usually associated with other intra‐articular pathologies 1 . Larger cyst can be palpated and seen as subcutaneous masses in the popliteal fossa and rare complications include rupture, infection, and pseudothrombosis 2,3 . To our knowledge, this is the first reported case of a Baker's cyst fistulating to the skin and presenting as ulcerating skin tumors.…”

Section: Descriptionmentioning

confidence: 91%

Perforating Baker's cyst mimicking cutaneous malignancy

Quaade

Zachariae

Jørgensen

et al. 2022

JEADV Clinical Practice

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“…When the cyst ruptures, severe pain with warmth, swelling and erythema of the calf can simulate a deep venous thrombosis or muscle rupture [17, 20, 22, 30, 31]. Ecchymosis at the ankle, the dorsum of the foot or the posterior calf has been suggested to be a differential diagnostic sign of a ruptured, hemorrhagic, Baker's cyst [23, 35, 38]. This report is the first report presenting a pyogenic, ruptured Baker's cyst that was accompanied by a deep thrombosis of the popliteal vein.…”

Section: Discussionmentioning

confidence: 99%

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

Corten

Vandenneucker

Reynders

et al. 2008

Knee Surg Sports Traumatol Arthrosc

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Post-steroid septic arthritis can be treated with irrigation pump assisted arthroscopic synovectomy. The high-intra-articular fluid pressures can force the pyogenic fluid into a pre-existing Baker's cyst. The cyst can rupture and with the pre-existing steroid induced immune-suppression, the calf abscess will be hard to control. Therefore, thorough investigation with an ultrasound-guided aspiration followed by an early drainage of the collection is warranted and mandatory. Close monitoring for the development of a deep thrombosis of the popliteal vein is required.

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Cutaneous manifestation of ruptured popliteal cyst

Cited by 4 publications

References 1 publication

Popliteal Cysts: A Current Review

Popliteal Cysts: A Current Review

Perforating Baker's cyst mimicking cutaneous malignancy

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

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