A popliteal cyst, originally called Baker's cyst, is a synovial fluid-filled mass located in the popliteal fossa. The most common synovial popliteal cyst is considered to be a distension of the bursa located beneath the medial head of the gastrocnemius muscle. Usually, in an adult patient, an underlying intra-articular disorder is present. In children, the cyst can be isolated and the knee joint normal. The anatomy, etiopathogenesis, clinical presentation, differential diagnosis, imaging and treatment modalities of the popliteal cyst are presented. The authors try to answer some questions dealing with this condition. Is the cyst isolated, can it be treated as such, is its origin always well-defined and does surgical excision provide a permanent cure?
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http://dx.doi.org/10.1007/s00167-005-0028-z | DOI Listing |
Arthrosc Tech
December 2024
Department of Orthopedics, Chaoprayayomraj Hospital, Suphanburi, Thailand.
The popliteal cyst is a common condition that causes disturbing symptoms. Several arthroscopic techniques are combined to treat the enlargement of communication and decompose the cyst wall, aiming to reduce recurrence. We propose a technique that involves resecting the posteromedial valve mechanism and excising the cyst wall through a 2-posteromedial portal approach.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
December 2024
Pôle Aixois de Chirurgie Articulaire et Sportive, La Bastide d'Axium, 21, Avenue Alfred Capus, 13090 Aix-en-Provence, France.
Introduction: The posteromedial compartment of the knee houses several important anatomical structures, including the oblique popliteal ligament (OPL), an accessory insertion tendon of the semimembranosus muscle. Popliteal cysts develop from the synovial bursa located between the medial gastrocnemius and the semimembranosus, typically secondary to intra-articular pathologies causing effusion. This study aimed to describe the normal anatomy of the postero-medial capsule of the knee and its anatomical variations, particularly in the presence of popliteal cysts.
View Article and Find Full Text PDFRadiol Case Rep
January 2025
Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana.
A 40-year-old female arrived with persistent posterior right knee pain, swelling in the popliteal, infrapatellar, anterior calf areas and difficulty walking due to joint stiffness. Multiple hypoechoic collections with internal echoes and debris were discovered in the anterior calf region using ultrasound imaging, which extended from a thick-walled infrapatellar hypoechoic collection with peripheral vascularity. A significant popliteal fossa cyst of comparable appearance was also observed.
View Article and Find Full Text PDFJ Clin Orthop Trauma
November 2024
Science Research Department, Alexander Muss High School in Israel (AMHSI) Affiliated with Alexander Muss Institute for Israel Education (AMIIE), Hod HaSharon, Israel.
Aims: We assessed diagnostic and arthroscopic surgery challenges the ruptured Baker's cysts (RBC) cases may present compared to intact Baker's cyst cases (IBC). The main question to explore was: Is RBC arthroscopic surgery more complex than IBS surgery? The null hypothesis was that RBC cases might present additional, and specific challenges for a surgeon and the arthroscopic procedure may be more complicated.
Methods: The prospective cohort study analyzed 100 operated patients (43 % female; mean age 61 ± 9.
BMC Surg
October 2024
The Department of Rheumatology and Immunology, Jinhua Municipal Central Hospital, Zhejiang University School of Medicine, No. 365 Renmin East Road, Jinhua City, Zhejiang Province, 321000, China.
Background: This study aimed to investigate a technique for treating pediatric popliteal cysts with a triple-channel knee arthroscopic approach, hypothesizing that this technique exhibits favorable clinical outcomes with reduced recurrence rates.
Methods: A retrospective analysis was conducted on the clinical data of 14 patients with symptomatic pediatric popliteal cysts admitted to the joint surgery center using an arthroscopic minimally invasive technique from December 2017 to December 2020. Arthroscopy was employed for adequate enlargement of the posterior medial flap opening between the cyst and the joint cavity and to completely resect the cyst wall.
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