‘Not Always a Baker’s Cyst’ – An Unusual Presentation of a Central Voluminous Postero-Medial Meniscal Cyst

نویسندگان

  • Harish Sivasubramanian
  • Gerard Ee
  • Manjunatha Ganiga Srinivasaiah
  • Shamal Das De
  • AM Sing
چکیده

Meniscal cysts are rare and often are a result of extrusion of synovial fluid through a tear of the meniscus, resulting in a one-way valve effect of the tear. Arthroscopic partial meniscectomy of the meniscus with intra-articular cyst drainage has become the standard of care. We report a case of an unusually large symptomatic medial meniscal cyst, situated postero-medially and pressing on the posterior cruciate ligament, which was initially clinically misdiagnosed as a Baker's cyst. The patient had difficulty and pain on squatting. He was successfully treated with arthroscopic debridement and needle decompression; a rarity in literature for such a voluminous perilabral cyst tenting the posterior cruciate ligament. This procedure has the advantage of being able to obtain the cystic fluid for histological and cytological analysis before debridement. This case also highlights the importance of the use of Magnetic Resonance Imaging (MRI) to accurately diagnose a central, posterior knee swelling.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Unusual Presentation of Synovial Sarcoma as Meniscal Cyst: A Case Report

  Periarticular cyst and cystic soft tissue lesion around the knee are common. Synovial sarcoma is a rare and malignant soft tissue tumor accounting for approximately 5% of soft tissue sarcoma. A case is presented where a lesion adjacent to the joint line of the knee was diagnosed clinically and on imaging as a meniscal cyst. MRI signal was homogenous and no concomitant meniscal tears were seen...

متن کامل

Medial meniscal cyst of the knee--an unusual presentation: a case report.

We report an unusual case of a large, asymptomatic, medial meniscal cyst of the knee. Medial meniscal cysts are relatively uncommon, are usually symptomatic and in most cases are so small that only magnetic resonance imaging can confirm the diagnosis.

متن کامل

Unusual lateral presentation of popliteal cyst: a case report.

The commonest cyst to occur in the popliteal region is the popliteal cyst and over the past years it has received much clinical attention. The commonest position of the popliteal cyst is in the posterosuperior aspect of the medial femoral condyle. The present case report describes a rare case of popliteal cyst, which was found on the postero-superior aspect of the lateral condyle of the femur. ...

متن کامل

Bimodal Treatment of a Huge Hypervascular Neurofibroma on the Groin

and medial and lateral sural nerves. A Baker’s cyst in this area can cause lower leg pain, paresthesia, and muscle weakness by the compression of the tibial nerve [5]. The authors were careful not to damage the lateral and medial sural nerves while dissecting the lateral head of the gastrocnemius muscle. Surgeons should have a precise plan to explore and dissect the popliteal fossa and to not d...

متن کامل

Ruptured septic popliteal cyst associated with psoriatic arthritis.

Popliteal cyst (Baker’s cyst) was first described by Adams in 1840, popularized by Baker in 1877, and was theorized as an enlarged gastrocnemiussemimembranosus bursa that communicated with the knee and trapped synovial fluid.1 Numerous bursa are located in the popliteal space between the knee ligaments, hamstring tendons, gastrocnemius muscle, and collateral ligaments. The two proposed etiologi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2012