Proximal Dissection and Rupture of a Popliteal Cyst: A Case Report

Abdelrahman, Mohamed; Tubeishat, S.; Hammoudeh, Mohammed

doi:10.1155/2012/292414

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…Proximal cyst rupture into the soft tissue of the thigh has also been reported. 26 DUS & MRI avoids misdiagnosis and inappropriate treatment, 5 [Triveda S et al 2015], with some authors considering DUS the imaging of choice. 27 Kim et al 2014, concluded that DUS differentiated purely cystic masses from more solid lesions and could exclude a DVT.…”

Section: Discussionmentioning

confidence: 99%

“…In identifying fluid behind the calf muscle connected to a popliteal cyst, or calf muscle dissection, DUS useful in confirming BC rupture, and excluding other causations of posterior lower limb pain such as cellulitis, or medial head of gastrocnemius or Achilles tendon tear. 26 US-guided aspiration with corticosteroid injection is a wellknown and reputedly safe conservative management for symptomatic BC. The steroid appears to be more effective when injected into the Baker's cyst directly compared to injecting into the joint.…”

Section: Discussionmentioning

confidence: 99%

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Bakers Cyst Occurrence Following Arthroscopic Medial Meniscal Debridement in a Recreational Athlete: Some Potential Indications for Ultrasound Guided Needle Aspiration

Inklebarger

Galanis²,

Kumar³

et al. 2017

IJMSCI

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Objectives: Though identification of underlying anatomical causation and surgical management of is the mainstay of treatment, needle aspiration with or without injection of corticosteroid is a common conservative management for enlarged and painful Baker's cysts (BC). This report explores some of the circumstances in which ultra-sound guided BC aspiration may be a first-line option. Methods: A 46 year-old recreational athlete developed marked posterior knee pain and swelling several years after arthroscopic medial meniscal debridement. Needle aspiration of a large & symptomatic BC was performed under ultrasound guidance, and the patient commenced rehabilitation. Results: Posterior knee pain completely abated post procedure. Increased knee joint flexion, and squatting was sustained, without cyst recurrence on 6 month follow-up. Conclusion: Ultrasound-guided aspiration of painful or enlarged Bakers cyst may have sustained benefits after knee arthroscopy in the older athlete, particularly in cases when no further surgery is indicated or planned. Diagnostic ultrasound differentiates BC from other types of masses, provides real-time dynamic visualization of the popliteal neurovascular bundle, guides needle placement, and helps to insure complete BC aspiration, accurate injection, and fenustration. BC aspiration, may also be indicated in cases of operative delay, comorbidities contraindicating surgery, to facilitate rehabilitation, or when the underlying causation of BC is indeterminate. Large cysts causing neurovascular compression may require more emergent aspiration. As this case report illustrates, symptomatic relief and functional improvements may be sustained for several months.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Bakers Cyst Occurrence Following Arthroscopic Medial Meniscal Debridement in a Recreational Athlete: Some Potential Indications for Ultrasound Guided Needle Aspiration

Inklebarger

Galanis²,

Kumar³

et al. 2017

IJMSCI

View full text Add to dashboard Cite

show abstract

“…Rarely, ruptured intramuscular Baker's cyst may cause compressive neuropathy of the posterior tibial nerve. While complications associated with Baker's cysts include dissection, rupture, pseudothrombophlebitis, leg ischemia, nerve entrapment, and compartment syndrome 8) , hematoma is an uncommon complication.…”

Section: Discussionmentioning

confidence: 99%

Baker's Cyst Filled with Hematoma at the Lower Calf

Yoo

Jang

et al. 2014

Knee Surg Relat Res

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Baker's cyst is a distension of the gastrocnemius-semimembranosus bursa of the knee, which communicates with the posterior portion of the joint capsule. Baker's cyst is commonly located in the inferomedial or superficial layers of the knee joint and rarely extends laterally or proximally. Complications of Baker's cysts are dissection, rupture, pseudothrombophlebitis, leg ischemia, nerve entrapment, and compartment syndrome. However, hematomas in the Baker's cyst have not been reported in Korea. We report a rare case of hematoma in the Baker's cyst with subfascial extension into the calf. The hematoma was demonstrated by magnetic resonance imaging and removed by mass excision.

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“…В большинстве случаев разрыв возникает остро, но возможен и субклинический вариант, когда наблюдается регулярное «подтекание» небольших порций жидкости [16].…”

Section: разрыв кбunclassified

Baker's cyst: etiopathogenesis, clinical picture, differential diagnosis of complications: A review

Lyalina,

Skripnichenko,

Borisovskaya

et al. 2023

Consilium Medicum

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Bakers cyst (BC) is a common condition and can be caused by both inflammatory and non-inflammatory disorders. Small BCs are usually asymptomatic and accidentally revealed. Large BCs present with pain and discomfort in the posterior knee as well as certain limitations of mobility. Large BCs may rupture resulting the fluid efflux down into the calf, which in turn presents with acute pain and number of potential thrombotic and neural complications. On another note, BC rupture requires differentiation with some urgent conditions such as venosus or arterial thrombosis, soft tissue infections etc. In this article we present some aspects of the etiopathogenesis, clinical signs and course of the BC. We also discuss the problematic issues of assessment and diagnostic work-up in case of BC ruptures.

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Proximal Dissection and Rupture of a Popliteal Cyst: A Case Report

Cited by 7 publications

References 7 publications

Bakers Cyst Occurrence Following Arthroscopic Medial Meniscal Debridement in a Recreational Athlete: Some Potential Indications for Ultrasound Guided Needle Aspiration

Bakers Cyst Occurrence Following Arthroscopic Medial Meniscal Debridement in a Recreational Athlete: Some Potential Indications for Ultrasound Guided Needle Aspiration

Baker's Cyst Filled with Hematoma at the Lower Calf

Baker's cyst: etiopathogenesis, clinical picture, differential diagnosis of complications: A review

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