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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4696641PMC
http://dx.doi.org/10.7727/wimj.2013.218DOI Listing

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Introduction And Importance: Meniscal cysts, while infrequent with a prevalence of 1 %-8 %, may result in considerable knee discomfort and functional limitations. The cysts are categorized according to their position in relation through the meniscus, labeled as either intrameniscal or parameniscal. Although parameniscal cysts are often small and asymptomatic, they may expand and become painful with time.

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Article Synopsis
  • Managing horizontal cleavage tears in the medial meniscus is complex, with various nonoperative and surgical treatments available, each having its own pros and cons.
  • Existing repair methods have been successful but can lead to issues like recurrent cysts and reduced meniscal volume.
  • A new surgical technique using a strip of autologous quadriceps tendon, combined with an all-inside compression suture, is proposed as a solution for young patients, aiming to improve the healing process and address previous treatment limitations.
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The Baker cyst (BC), also known as the popliteal cyst or parameniscal cyst, is a fluid-filled sac that normally develops in the back of the knee, between the semimembranosus and medial head of the gastrocnemius. We aimed to evaluate the effectiveness of physiotherapy (10 days of treatment) that associates intermittent vacuum therapy (IVT) on the lower limbs in the treatment of the BC, respectively, in its size reduction. Sixty-five patients with knee osteoarthritis using Kellgren-Lawrence criteria and the presence of BC (ultrasonography evaluation), were divided into the Control and Vacuum groups.

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Objectives: Parameniscal cysts can be removed without meniscectomy, but for large or multiloculated meniscal cysts, traditional arthroscopic excision may leave the meniscus unstable. This study aimed to describe a modified fat pad approach for parameniscal cyst arthroscopic excision that retains a stable structure of the synovial margin of the meniscus and to compare the clinical outcomes between the traditional cyst excision and modified excision techniques.

Methods: Fifty-six patients with parameniscal cysts between 2014 and 2018 were retrospectively included in this study with 28 patients in each group.

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