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The American Journal of the Medical... Jun 2023
Topics: Humans; Popliteal Cyst; Osteoarthritis, Knee; Diagnosis, Differential
PubMed: 36702350
DOI: 10.1016/j.amjms.2023.01.006 -
International Orthopaedics Jun 2019The purpose of this study was to introduce a modified arthroscopic treatment technique for popliteal cyst and hypothesize that this modified technique would provide good...
PURPOSE
The purpose of this study was to introduce a modified arthroscopic treatment technique for popliteal cyst and hypothesize that this modified technique would provide good clinical efficacy and low recurrence rate.
METHODS
From January 2013 to January 2017, 34 patients with symptomatic popliteal cysts were treated with our technique. A figure-of-four position and double posteromedial portals were used to achieve adequate enlargement of the posteromedial valvular opening between the cyst and the joint cavity and complete excision of the cyst wall. MRI was used to detect the recurrence of the popliteal cyst, and the Rauschning and Lindgren score was recorded to evaluate the clinical outcome.
RESULTS
All patients were followed up with a mean period of 14.8 months (range, 12 to 36 months). Associated intra-articular lesions were found and treated in all cases. Degenerative cartilage damage was the most common pathology, which affected 23 (67.6%) of the cases. The Rauschning and Lindgren score improved significantly after surgery, and no evidence of recurrence was found from MRI in any case.
CONCLUSIONS
Our modified arthroscopic treatment technique, using a figure-of-four position and double posteromedial portals, is effective and safe for treating popliteal cyst.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Arthroscopy; Child; Female; Health Status; Humans; Hypertrophy; Magnetic Resonance Imaging; Male; Middle Aged; Neoplasm Recurrence, Local; Popliteal Cyst; Treatment Outcome; Young Adult
PubMed: 30088053
DOI: 10.1007/s00264-018-4087-4 -
Rheumatology International Dec 2019Although popliteal cysts are most frequently identified in patients with osteoarthritis (OA), they may occur in patients with rheumatoid arthritis (RA), in which serious... (Review)
Review
Successful arthroscopic treatment of refractory and complicated popliteal cyst associated with rheumatoid arthritis in combination with osteoarthritis: case series and literature review.
Although popliteal cysts are most frequently identified in patients with osteoarthritis (OA), they may occur in patients with rheumatoid arthritis (RA), in which serious complicated cases such as cyst rupture can be developed. The objective of this study was to report four patients with RA (six knees) in combination with OA with a brief review of literature of previous similar published cases. This is a retrospective review of case records of patients with refractory and/or complicated popliteal cysts, who have successfully treated with arthroscopic intervention. We suggest that arthroscopic interventions such as radical debridement, synovectomy, biomechanical valve excision, and/or cystectomy should be considered in patients with refractory and complicated popliteal cysts associated with RA or RA in combination with OA.
Topics: Aged; Arthritis, Rheumatoid; Arthroscopy; Female; Humans; Knee Joint; Middle Aged; Osteoarthritis; Popliteal Cyst; Treatment Outcome
PubMed: 30976834
DOI: 10.1007/s00296-019-04278-9 -
Annals of Vascular Surgery Oct 1988A patient with compression of the left popliteal artery by cystic adventitial disease is presented. The adventitial cyst was connected to a Baker's cyst. The patient...
A patient with compression of the left popliteal artery by cystic adventitial disease is presented. The adventitial cyst was connected to a Baker's cyst. The patient suffered severe ischemia only after heavy exercise, because the mucous fluid of the Baker's cyst shifted into the popliteal artery cyst when the Baker's cyst was compressed. The etiology of cystic adventitial disease of the popliteal artery in this patient is discussed.
Topics: Adult; Exercise; Humans; Intermittent Claudication; Ischemia; Leg; Male; Popliteal Artery; Popliteal Cyst; Synovial Cyst
PubMed: 3224073
DOI: 10.1016/S0890-5096(06)60822-4 -
Orthopedics Aug 1987
Topics: Adult; Humans; Knee Joint; Male; Popliteal Cyst; Radiography; Synovial Cyst
PubMed: 3628107
DOI: No ID Found -
Annals of Vascular Surgery Oct 2019We report the case of a 68-year-old man complaining of sudden intermittent claudication of the left limb. The patient was rapidly diagnosed with duplex ultrasound (DUS),...
We report the case of a 68-year-old man complaining of sudden intermittent claudication of the left limb. The patient was rapidly diagnosed with duplex ultrasound (DUS), computed tomography angiography, and magnetic resonance angiography as having a popliteal cyst (PC) compressing the popliteal artery, responsible for intermittent claudication. The patient underwent DUS-guided PC aspiration allowing symptoms resolution. However, he presented 3 recurrent ischemic syndromes from brutal claudication to more severe ischemia in a 3-month period, with increasing severity of the symptoms, treated with 3 DUS-guided PC aspirations. An extensive work-up excluded an atherosclerotic etiology. Consequently, due to increasing severity and quick recurrence of the symptoms and given the underlying knee osteoarthritis, the patient underwent radical treatment and got a total knee prosthetic replacement. One year later, follow-up was uneventful.
Topics: Acute Disease; Aged; Arterial Occlusive Diseases; Arthroplasty, Replacement, Knee; Humans; Intermittent Claudication; Ischemia; Male; Osteoarthritis, Knee; Popliteal Artery; Popliteal Cyst; Recurrence; Regional Blood Flow; Treatment Outcome
PubMed: 31200062
DOI: 10.1016/j.avsg.2019.03.029 -
BMC Musculoskeletal Disorders Jul 2020This study aimed to compare the arthroscopic internal drainage of popliteal cysts alone or in combination with cyst wall resection in terms of clinical outcomes.
BACKGROUND
This study aimed to compare the arthroscopic internal drainage of popliteal cysts alone or in combination with cyst wall resection in terms of clinical outcomes.
METHODS
Forty-two consecutive patients with symptomatic popliteal cysts received arthroscopic treatment. Specifically, 20 of them received arthroscopic internal drainage (AI group) alone and 22 received arthroscopic internal drainage combined with cyst wall resection (AICR group) through double posteromedial portals. Magnetic resonance imaging (MRI) was performed to identify recurrence of popliteal cysts. The Lysholm score and Rauschning-Lindgren grade were used to assess the clinical outcomes. The median of the follow-up period was 24 months (12-48 months).
RESULTS
The two groups (AI group and AICR group) were similar in age, gender, cyst diameter, associated joint disorder, preoperative Lysholm score, preoperative Rauschning-Lindgren grade and follow-up period (P > 0.05). Relative to the AI group, the AICR group had a significantly prolonged operation time (P < 0.05) and a higher incidence of complications (P < 0.05). In both groups, the Rauschning-Lindgren grade at the last follow-up significantly differed from the preoperative grade (P < 0.05) and the Lysholm knee score remarkably increased compared to the preoperative score (P < 0.05); however, there were no differences between the two groups at the last follow-up (P > 0.05). According to the MRI results, the cyst disappeared in 11 (55%), shrank in size in 6 (30%) and existed in 3 (15%) patients in the AI group, and was absent in 18 (81.8%) and shrank in size in 4 (18.2%) patients in the AICR group, suggesting a significant difference between the two (P < 0.05).
CONCLUSION
Additional resection of cyst wall can result in a lower recurrence rate of cysts but extend the operation time and increase the incidence of perioperative complications compared with arthroscopic internal drainage of popliteal cysts alone.
Topics: Adult; Arthroscopy; China; Drainage; Female; Humans; Knee Joint; Magnetic Resonance Imaging; Male; Middle Aged; Neoplasm Recurrence, Local; Operative Time; Popliteal Cyst; Postoperative Complications; Severity of Illness Index; Treatment Outcome
PubMed: 32631287
DOI: 10.1186/s12891-020-03453-5 -
Journal of Orthopaedic Surgery and... Nov 2017The purpose of this study was to evaluate the efficacy of arthroscopic knee cavity internal drainage and cyst cavity debridement operation of popliteal cyst in knee...
BACKGROUND
The purpose of this study was to evaluate the efficacy of arthroscopic knee cavity internal drainage and cyst cavity debridement operation of popliteal cyst in knee osteoarthritis patients.
METHODS
From August 2007 to March 2013, 58 knee osteoarthritis patients with popliteal cyst were treated with arthroscopic knee cavity internal drainage through posteromedial portal and popliteal cyst cavity debridement through superior posteromedial portal. In all patients, preoperative magnetic resonance imaging (MRI) was performed to detect combined intra-articular pathology and the communication between popliteal cyst and knee cavity. Clinical efficacy was evaluated through VAS score and Lysholm score.
RESULTS
All patients had neither recurrence of popliteal cyst nor complaints of pain, swelling, or functional impairment at average 24 months follow-up after surgery. Postoperatively, VAS score was decreased significantly and Lysholm score was raised significantly comparing preoperatively.
CONCLUSION
Arthroscopic knee cavity internal drainage operation through posteromedial portal and popliteal cyst cavity debridement through superior posteromedial portal is an effective minimally invasive surgery method for the treatment of popliteal cyst without recurrence in knee osteoarthritis patients.
Topics: Aged; Arthroscopy; Drainage; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Osteoarthritis, Knee; Pain Measurement; Popliteal Cyst
PubMed: 29169352
DOI: 10.1186/s13018-017-0670-4 -
Haemophilia : the Official Journal of... Sep 2002A 7(1/2)-year-old boy with severe haemophilia A had increasing discomfort and pain in his left knee after sledding on ice and landing on his knees. Left knee pain... (Review)
Review
A 7(1/2)-year-old boy with severe haemophilia A had increasing discomfort and pain in his left knee after sledding on ice and landing on his knees. Left knee pain persisted for days despite recombinant factor VIII replacement. Imaging studies showed that by day 10 a popliteal cyst had ruptured, with diffusion of blood into the calf muscles. This case illustrates another possible bleeding complication in patients with a bleeding disorder and a popliteal cyst.
Topics: Accidental Falls; Child; Factor VIII; Hemophilia A; Hemorrhage; Humans; Knee Injuries; Leg; Male; Muscle, Skeletal; Pain; Popliteal Cyst; Recombinant Proteins; Rupture
PubMed: 12199689
DOI: 10.1046/j.1365-2516.2002.00648.x -
Arthroscopy : the Journal of... Sep 2009A case of popliteal artery aneurysm after arthroscopic cystectomy of a popliteal cyst is an uncommon complication, and no case has been reported. We present a case of...
A case of popliteal artery aneurysm after arthroscopic cystectomy of a popliteal cyst is an uncommon complication, and no case has been reported. We present a case of pseudoaneurysm of the popliteal artery after arthroscopic cystectomy of a popliteal cyst 2 months after surgery. Open excision of the pseudoaneurysm and popliteal artery pin-point repair were done. At 30 months' follow-up, both the tibialis posterior and dorsalis pedis pulsations were felt equally on both sides with normal sensations over the limb. Retrospectively reviewing the case, we found that the relation of the popliteal artery and popliteal cyst on preoperative magnetic resonance images can predict the complication of pseudoaneurysm of the popliteal artery. It is better not to shave the lateral aspect of the cyst while performing arthroscopic cystectomy when magnetic resonance images show that the popliteal artery is close to the cyst.
Topics: Aneurysm, False; Arthroscopy; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Popliteal Artery; Popliteal Cyst; Pulse; Treatment Outcome
PubMed: 19732646
DOI: 10.1016/j.arthro.2009.05.005