scholarly journals “Baker's Cyst”–Induced Above-Knee Amputation

2016 ◽  
Vol 02 (01) ◽  
pp. e4-e7
Author(s):  
Michael Liebensteiner ◽  
Thomas Auckenthaler ◽  
Andreas Frech ◽  
Lydia Posch ◽  
Gustav Fraedrich ◽  
...  
Keyword(s):  
Arthroscopic Surgery ◽  
Previous Treatment ◽  
Recurrence Rates ◽  
Baker’S Cyst ◽  
Knee Amputation ◽  
Baker's Cyst ◽  
Traditional Procedure ◽  
Fifth Toe ◽  
The Right ◽  
Articular Pathology

We report a 65-year-old man who presented with a necrotic fifth toe, incipient phlegmon and hypesthesia of the right foot, a swollen lower leg, and a palpable popliteal mass. An occlusion of the popliteal artery secondary to a Baker's cyst was found to have caused protracted ischemia and the abovementioned symptoms. Despite several endovascular and open-surgery procedures to restore perfusion of the limb, the patient eventually had to undergo above-knee amputation.It might be speculated whether earlier surgery would have preserved the patient's limb. Whereas the traditional procedure of open resection of the Baker's cyst has been associated with high recurrence rates, the condition can be treated effectively and safely today by means of arthroscopic surgery. We believe that arthroscopic interventions should at least be performed in the following instances: (1) in patients with recurrent symptoms of a Baker's cyst after previous treatment of the intra-articular pathology and previous aspiration of the cyst and (2) in patients with incipient sequelae that indicate relevant compression of neurovascular structures of the popliteal fossa (pseudothrombophlebitis, intermittent claudication, neuropathy).

scholarly journals A Rare Case Report of Infected Baker’s (Popliteal) Cyst

2020 ◽  
pp. 1-4
Author(s):  
Salieha Zaheer ◽  
Elizabeth Towner ◽  
Hassan Baiz ◽  
Pierre Morris ◽  
Rehana Siddique ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Good Condition ◽  
Joint Fluid ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Streptococcus Anginosus ◽  
Baker's Cyst ◽  
Limited Range Of Motion ◽  
The Right

A popliteal cyst, otherwise known as a Baker’s cyst, is a fluid-filled sac that forms behind the knee between the medial head of the gastrocnemius and the semimembranosus muscles. These cysts have a high prevalence in the adult population and are frequently associated with a variety of degenerative conditions of the knee, which complicates the diagnosis. Our patient is an elderly male initially evaluated for a deep venous thrombosis. Further evaluation revealed a baker’s cyst abscess, which was diagnosed on imaging and confirmed post-operatively. A culture growth of the abscess was obtained that grew Streptococcus anginosus. The patient presented with right leg swelling, erythema and knee pain. His physical exam showed significant effusion of the right knee, with tenderness to palpation of the right posterior knee and a limited range of motion with flexion. The venous duplex was negative for deep venous thrombosis (DVT) and the patient continued to experience significant pain with ambulation. A knee aspiration was done with purulent joint fluid sent for culture. A computed tomography (CT) scan without contrast of his right leg revealed a Baker’s cyst abscess within a collection of fluid. The patient was taken to the operating room (OR) with a diagnosis of right septic knee and popliteal cyst abscess where arthroscopic irrigation and debridement with extensive synovectomy of the right knee was performed. Aspiration cultures were positive for Streptococcus anginosus, which has a unique ability to promote abscesses formation. Patient tolerated the procedure well and was discharged from the hospital in good condition with instructions to take Rocephin IV for six weeks. The patient ambulated without difficulty and showed significant improvement after 2 months.

scholarly journals Lymphangioma of popliteal fossa masquerading as Baker’s cyst

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Elamparidhi Padmanaban ◽  
Sanika Suryawanshi ◽  
Umamageswari Amirthalingam ◽  
Thara Keloth ◽  
Rintu George
Keyword(s):  
Cystic Lesion ◽  
Popliteal Fossa ◽  
Internal Derangement ◽  
Contrast Study ◽  
Imaging Features ◽  
Baker’S Cyst ◽  
Post Contrast ◽  
Baker's Cyst ◽  
Inferior Aspect ◽  
The Right

Abstract Background Lymphatic malformations are the second most common vascular malformations after venous malformations. These slow-flow lesions occur most often in the paediatric population and seldom in the extremities. We report a case of lymphangioma at the popliteal fossa in an adult who underwent complete surgical resection. Case presentation A 30-year-old male presented to the department of orthopaedics with a swelling in the right calf region. Clinically, it was suspected to be a Baker’s cyst. Ultrasound showed a multiloculated anechoic cystic lesion in the inferior aspect of popliteal fossa along the intermuscular plane with multiple internal septations. Infected Baker’s cyst was considered, and MRI was suggested for further evaluation. On MRI, the lesion measured 7.2 × 4.6 × 5.8 cm, appeared as a low signal on T1 and high signal on STIR and T2, with multiple internal septations and was situated in the inferior aspect of the right popliteal fossa along the intermuscular plane between the lateral head of gastrocnemius and soleus muscles. No obvious synovial extension. A post-contrast study showed minimal peripheral and septal enhancement. Neither internal enhancing solid components nor significant internal derangement of the knee was observed. Diagnosis of lymphangioma was considered based on the imaging features and ruling out the common differentials for cystic lesions around the knee. Wide local excision was performed. Histopathological evaluation showed multiple irregularly dilated lymphatic channels lined by flatted epithelium. The lymphatic channels were seen to be surrounded by thick fibro collagenous cyst wall with scattered congested blood vessels, skeletal muscle fibre and chronic inflammatory cells. Conclusion Lymphangioma must be included in the differential diagnosis of any cystic lesion if the lesion appears multiseptated and/or infiltrative. At the popliteal fossa, it presents as a multiseptated cyst with no synovial continuity or internal derangement of the knee.

scholarly journals Sclerotherapy of Baker’s Cyst with Imaging Confirmation of Resolution

2008 ◽  
Vol 2;11 (3;2) ◽  
pp. 257-261
Author(s):  
Christopher J. Centeno
Keyword(s):  
Management Practices ◽  
White Male ◽  
Meniscus Tear ◽  
Mri Imaging ◽  
Baker’S Cyst ◽  
Conservative Care ◽  
Baker's Cyst ◽  
The Right ◽  
Sodium Morrhuate

Background: Baker’s cysts are commonly encountered in pain management practices. Objective: To ascertain if sclerotherapy treatment of a Baker’s cyst could produce objectively verifiable MRI imaging changes. Design: Case report. Methods: A 52-year-old white male with a posterior horn of the medial meniscus tear and a large Baker’s cyst who had failed conservative care and drainage was imaged before treatment with sclerosing. Three injections of 12.5% dextrose and anesthetic with sodium morrhuate were injected intraarticular into the right knee after drainage. Results: The Baker’s cyst resolved on both postoperative imaging after the completion of care as well as on physical examination. Conclusions: Prolotherapy in this case study seemed to be an effective treatment for Baker’s cyst in this patient. Key words: sclerosing, Baker’s cyst, knee, sclerotherapy, sodium morrhuate, dextrose

Nonoperative Management of Lower Extremity Claudication Caused by a Baker's Cyst: Case Report and Review of the Literature

Vascular ◽  
2005 ◽  
Vol 13 (4) ◽  
pp. 244-247 ◽  
Author(s):  
Wayne W. Zhang ◽  
James K. Lukan ◽  
Maciej L. Dryjski
Keyword(s):  
Ankle Brachial Index ◽  
Limb Ischemia ◽  
Synovial Cyst ◽  
Transient Condition ◽  
Popliteal Cyst ◽  
Term Outcome ◽  
Baker’S Cyst ◽  
Long Term Outcome ◽  
Baker's Cyst ◽  
The Right

A Baker's or popliteal cyst is a synovial cyst in the popliteal fossa arising from the knee joint. The majority of patients develop a popliteal mass that is asymptomatic, but in a small percentage of patients, complications and symptoms occur; these may not only encompass the popliteal veins and arteries but may also include cyst leakage, infection, hemorrhage, and compartment syndrome. Severe lower limb ischemia caused by a Baker's cyst is extremely rare, having been reported only six times since 1960; all patients were treated with surgical intervention. We report the case of a 29-year-old male presenting with right calf claudication caused by a Baker's cyst. The patient was managed nonoperatively with nonsteroidal anti-inflammatory agents, proper exercises, and close observation. His claudication improved progressively and had completely disappeared at 12 months of follow-up. A repeat duplex arterial study showed that increased blood flow to the right foot and the right ankle/brachial index improved to 0.97 from 0.67. Repeat ultrasonography demonstrated that the size of the cyst decreased from 4.5 × 1.5 cm to 2.8 × 0.9 cm. The patient had been followed for 20 months and remained asymptomatic in the last 8 months. We will continue to follow the patient to evaluate the long-term outcome. In summary, our own data and literature review suggest that the limb ischemia caused by Baker's cyst may be a transient condition and can be managed nonoperatively in selected patients.

Differentiation between ruptured Baker’s cyst and deep vein thrombosis (DVT)

2012 ◽  
Vol 04 (01) ◽  
pp. 47-49 ◽  
Author(s):  
Tanawat Teerasahakoon ◽  
Mayura Boonthathip ◽  
Chirotchana Suchato
Keyword(s):  
Deep Vein Thrombosis ◽  
Baker’S Cyst ◽  
Vein Thrombosis ◽  
Baker's Cyst ◽  
Deep Vein

Two decades of experience on ablation in children with Ebstein’s anomaly

2021 ◽  
pp. 1-7
Author(s):  
Tevfik Karagöz ◽  
İlker Ertuğrul ◽  
Ebru Aypar ◽  
Aydın Adıgüzel ◽  
Hayrettin Hakan Aykan ◽  
...  
Keyword(s):  
Atrial Flutter ◽  
Atrial Tachycardia ◽  
Ebstein’S Anomaly ◽  
Atrioventricular Nodal Reentrant Tachycardia ◽  
Success Rates ◽  
Recurrence Rates ◽  
Ebstein's Anomaly ◽  
Accessory Pathways ◽  
Rare Occasion ◽  
The Right

Abstract Introduction: Accessory pathways are commonly seen due to delamination of tricuspid valve leaflets. In addition to accessory pathways, an enlarged right atrium due to tricuspid regurgitation and incisional scars creates substrates for atrial re-entries and ectopic tachycardia. We sought to describe our experience with catheter ablation in children with Ebstein’s anomaly. Methods and results: During the study period, of 89 patients diagnosed with Ebstein’s anomaly, 26 (30.9%) of them who underwent 33 ablation procedures were included in the study. Accessory pathways were observed in the majority of procedures (n = 27), whereas atrial flutter was observed in five, atrioventricular nodal reentrant tachycardia in five, and atrial tachycardia in two procedures. Accessory pathways were commonly localised in the right posteroseptal (n = 10 patients), right posterolateral (n = 14 patients), septal (n = two patients), and left posteroseptal (n = one patient) areas. Multiple accessory pathways and coexistent arrhythmia were observed in six procedures. All ablation attempts related to the accessory pathways were successful, but recurrence was observed in five (19%) of the ablations. Ablation for atrial flutter was performed in five patients; two of them were ablated successfully. One of the atrial tachycardia cases was ablated successfully. Conclusions: Ablation in patients with Ebstein’s anomaly is challenging, and due to nature of the disease, it is not a rare occasion in this group of patients. Ablation of accessory pathways has high success, but also relatively high recurrence rates, whereas ablation of atrial arrhythmias has lower success rates, especially in operated patients.

GIANT BAKER'S CYST AND PSEUDOTHROMBOPHLEBITIS IN PATIENTS WITH RHEUMATIC DISEASES: A NEW INSIGHT INTO OLD COMPLICATIONS

2013 ◽  
Vol 16 (02) ◽  
pp. 1350009
Author(s):  
Massoud Saghafi ◽  
Azita Azarian
Keyword(s):  
Rheumatoid Arthritis ◽  
Rheumatic Diseases ◽  
Imaging Techniques ◽  
Cyst Formation ◽  
Underlying Disease ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Study Results ◽  
Prevalent Disease

Background: The knee joint is the most common site for cyst formation. Popliteal cyst may become large and its compressive effects produce complications particularly in subacute and chronic rheumatic diseases. Methods: We evaluated predisposing factors, underlying diseases, complications, course and management of giant Baker's cysts in our patients with rheumatic diseases. Patients with popliteal cysts that extended down lower than inferior level of the popliteal fossa, confirmed by imaging techniques were included in this retrospective study. Results: A total of 40 patients had giant Baker's cysts during last 20 years. Rheumatoid arthritis was the most prevalent disease in 21 patients (52.5%). Our cases included a large series of patients with seronegative spondyloarthropathies complicated with giant Baker's cyst in 10 patients (25%). Localized bulging, pain and tenderness of the calf region were observed in 15 patients (37.5%). A total of 25 patients had symptoms and signs similar to thrombophlebitis (62.5%). Rupture of Baker's cyst was detected in 10 patients (25%). A patient had giant Baker's cyst concurrent with thrombophlebitis. Management was mostly conservative including rest and intra-articular depoglucocorticoid injection with satisfactory results. Conclusions: In this study, rheumatoid arthritis was the most prevalent underlying disease and the pseudothrombophlebitis syndrome was the most prevalent presenting feature of patients with giant Baker's cysts.

scholarly journals Rupture of Baker's Cyst Producing Pseudothrombophlebitis in a Patient with Reiter's Syndrome

2004 ◽  
Vol 20 (12) ◽  
pp. 600-603 ◽  
Author(s):  
Salih Ozgocmen ◽  
Arzu Kaya ◽  
Ayhan Kamanli ◽  
Ozge Ardicoglu ◽  
Fatma Ozkurt-Zengin ◽  
...  
Keyword(s):  
Reiter's Syndrome ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Reiter’S Syndrome

Entrapment Neuropathy From Baker's Cyst

JAMA ◽  
1978 ◽  
Vol 239 (2) ◽  
pp. 135 ◽  
Author(s):  
Kenneth K. Nakano
Keyword(s):  
Entrapment Neuropathy ◽  
Baker’S Cyst ◽  
Baker's Cyst

On Baker's Cyst and its Treatment

1958 ◽  
Vol 4 (1-4) ◽  
pp. 296-302 ◽  
Author(s):  
Juhani Kirpilä ◽  
Niilo Ripatti
Keyword(s):  
Baker’S Cyst ◽  
Baker's Cyst
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