Imaging-Guided Treatment of Meniscal Cysts

Chang, Anthony

doi:10.1007/s11420-008-9098-z

Cited by 11 publications

(6 citation statements)

References 4 publications

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“…Chang reported a case of a meniscal cyst aspirated and injected with steroid under ultrasound guidance which resulted in the "mild" improvement of symptoms at 6 months. 31 In a case series of 18 consecutive patients with symptomatic MRIconfirmed meniscal cysts aspirated under ultrasound guidance and injected with methylprednisolone acetate and bupivacaine, all patients experienced an initial resolution of all symptoms. At a mean final follow-up of 10 months, 10 of these 18 patients (56%) continued to report complete resolution of symptoms, 2 patients (12%) had only slight "twinges of pain," whereas 6 patients (33%) experienced a cyst recurrence.…”

Section: Treatmentmentioning

confidence: 98%

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Meniscal Cysts: Treatment Options and Algorithm

2013

J Knee Surg

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Meniscal cysts are commonly seen in the knee. Symptomatic meniscal cysts tend to be located on the lateral side but magnetic resonance imaging studies indicate that medial cysts are more common. Meniscal cysts are commonly associated with horizontal meniscal tears. The arthroscopic management of symptomatic cysts should include debriding the horizontal meniscal tear (if nonrepairable) to fully decompress the cyst and the creation of a 5-mm channel from the joint into the cyst. If a vertical peripheral meniscal tear exists or is created, meniscal repair for appropriately selected cases should be performed.

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Section: Treatmentmentioning

confidence: 98%

“…Needle aspiration of meniscal cysts may also play a role when combined with other procedures. 26,31,32 Lu reported a case in which an anterior horn tear of the lateral meniscus was being addressed arthroscopically. 32 In this case, intraarticular cyst decompression through the meniscus would have resulted in a subtotal meniscectomy.…”

Section: Treatmentmentioning

confidence: 99%

Meniscal Cysts: Treatment Options and Algorithm

2013

J Knee Surg

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“…13). 51,52 Paralabral cysts of the shoulder and hip are similar lesions, often associated with underlying labral tears, and they may be painful or result in entrapment neuropathy. 53 These too can be aspirated and injected with steroids using imaging guidance.…”

Section: Aspiration Of Juxta-articular Collectionsmentioning

confidence: 99%

Musculoskeletal Aspiration Procedures

Hansford

Stacy

2012

Semin intervent Radiol

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With advances in imaging technology, there has been a significant increase in the number and range of interventional musculoskeletal image-guided procedures. One of the most commonly performed image-guided musculoskeletal interventions is the diagnostic and therapeutic percutaneous aspiration and drainage of multiple types of intra-articular, juxta-articular, and intramuscular pathologic fluid collections. These procedures may be performed under fluoroscopic, ultrasound, computed tomography, or even magnetic resonance guidance depending on the location to be accessed, type of pathology, patient characteristics, and operator preference. Musculoskeletal image-guided aspiration and drainage procedures are minimally invasive and generally very safe while offering valuable diagnostic information as well as therapeutic benefit. This article focuses on the appropriate indications, contraindications, and general technique for accessing the major joints via imaging guidance. For each joint, we discuss pertinent anatomy, appropriate imaging modalities, and preferred approaches to gaining intra-articular access. Additionally, the article discusses some of the more frequently encountered juxta-articular and intramuscular fluid collections that can be accessed and aspirated via percutaneous intervention, with mention of the importance of recognizing extremity sarcomas that can mimic these benign collections.

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“…23 While MRI remains the gold standard for diagnosis, meniscal cysts may also be diagnosed clinically when palpable or with the use of in-clinic musculoskeletal ultrasound in cases where MRI is not readily available or contraindicated. [24][25][26][27][28] Meniscal cysts can either be treated conservatively (aspiration of the cyst through a large bore needle followed by a corticosteroid injection; ultrasound assisted percutaneous needle decompression) or with surgical excision or decompression. [29][30][31] Open drainage with total meniscectomy was historically the preferred surgical technique for the treatment of meniscal cysts; however, this procedure has fallen out of favor with the advent of arthroscopic surgery and increased interest in meniscus preservation.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Management of Meniscal Cysts: A Systematic Review

Haratian¹,

Bolia²,

Hasan³

et al. 2021

ORR

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Purpose The purpose of this study was to systematically review the outcomes of arthroscopic management of meniscal cysts and to compare the results across the reported surgical techniques. Methods Following the PRISMA methodology, 3 databases (PubMed, Scopus and Web of Science) were searched from inception to June 2021 for randomized controlled trials (RCTs) and observational studies reporting outcomes on patients with meniscal cysts who underwent arthroscopic surgery. The Mixed Methods Appraisal Tool (MMAT) was used to evaluate the study quality. Results Eighteen studies examining 753 patients (761 meniscal cysts; 92.5% in the lateral meniscus) were included. Overall, 486/736 (66.0%) patients underwent purely arthroscopic decompression, 174/736 (23.6%) received arthroscopic excision, 58/736 (7.9%) received arthroscopy assisted percutaneous drainage, and 18/736 (2.4%) received a combined procedure. The recurrence rate for meniscal cysts was 7.1% across all arthroscopic procedures; 8.3%, 3.4%, and 0% for arthroscopic decompression, arthroscopic excision, and arthroscopy assisted percutaneous drainage, respectively. A total of 79.3% of patients returned to the same level of sport and 85.7% had resolution or minimal knee symptoms after arthroscopic surgery for meniscal cysts. Patient perception of surgical outcomes after any type of arthroscopic surgery for meniscal cysts was reported by 5 studies, with 189/203 (93.1%) reporting satisfaction with their surgical procedure. Conclusion Based on current evidence, arthroscopic management of meniscal cysts yields satisfactory patient outcomes, low cyst recurrence rates and high return to sport rates regardless of the surgical technique. Rates of cyst recurrence were relatively higher with arthroscopic decompression versus excision and percutaneous drainage; however, prospective studies using modern surgical techniques are necessary to better evaluate the surgical outcomes and to compare those with nonoperative modalities, given that a significant proportion of the included articles in this review were relatively outdated. Level of Evidence Systematic review of level II and IV studies.

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Imaging-Guided Treatment of Meniscal Cysts

Cited by 11 publications

References 4 publications

Meniscal Cysts: Treatment Options and Algorithm

Meniscal Cysts: Treatment Options and Algorithm

Musculoskeletal Aspiration Procedures

Arthroscopic Management of Meniscal Cysts: A Systematic Review

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