Arthroscopic Decompression of a Popliteal Cyst

Background: Popliteal (Baker) cysts are enlarged gastrocnemius-semimembranosus bursae leading to swelling in the popliteal fossa. Surgical decompression and capsulectomy is definitive treatment for symptomatic with arthroscopic or open decompression. Arthroscopic minimally invasive, entails lower risks, allows earlier more aggressive rehabilitation compared excision. Indications: Indications cyst include pain mechanical discomfort refractory conservative treatment. Further indications neurovascular compromise secondary bursal enlargement, including thrombophlebitis, compartment syndrome, limb ischemia, nerve entrapment. Additional considerations concurrent pathology requiring surgical intervention. Technique Description: Following standard diagnostic arthroscopy, a Gillquist maneuver performed visualize posteromedial transverse synovial fold. The operative placed modified figure-of-four position. A portal established under spinal needle localization utilized debride anterior capsular wall contents an shaver. Attention paid removal of posterior infold reduce risk recurrence. Results: literature reports favorable outcomes cysts. In comparison decompression, You et al. reported reduced mean time recurrence rate following management. retrospective study, Rupp increased rates meniscal and/or chondral injuries highlighting importance addressing intra-articular pathologies during Discussion/Conclusion: can be safely effectively. approach that predispose Nonetheless, vary widely therefore further study technique necessary. Patient Consent Disclosure Statement: author(s) attests consent has been obtained from any patient(s) appearing this publication. If individual may identifiable, included statement release other written form approval submission