[Rupture of a Baker cyst with compartment syndrome. A rare complication of knee arthroscopy].

Chirurg

Chirurgische Klinik, Limmattalspital, Schlieren, Schweiz.

Published: March 1998

AI Article Synopsis

  • A case was documented where irrigation fluid leaked into soft tissue after a Baker's cyst ruptured during knee arthroscopy.
  • A fasciotomy of the calf was performed to prevent serious complications from potential compartment syndrome.
  • Literature review shows mixed opinions on handling such leaks, with some suggesting surgery while others advocate for monitoring and allowing the body to absorb the fluid naturally.

Article Abstract

We report a case of leakage of irrigation fluid into the extra-articular soft tissue, due to rupture of a Baker's cyst during arthroscopy of the knee joint. A four-quadrant fasciotomy of the calf musculature was performed to prevent the devasting ischemic complications of an imminent compartment syndrome. A survey of the literature reveals no consensus regarding the treatment of such complications. On the contrary, some authors recommend avoiding fasciotomy and waiting for spontaneous reabsorption of the irrigation fluid.

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Source
http://dx.doi.org/10.1007/s001040050418DOI Listing

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