scholarly journals Radiation Diagnostic Techniques for Dynamically Controling the Efficiency of Laser-Induced Thermotherapy for Baker’s Cyst

2019 ◽  
Vol 100 (4) ◽  
pp. 222-228
Author(s):  
S. A. Chernyad’ev ◽  
V. B. Aretinskiy ◽  
N. I. Sivkova ◽  
A. V. Zhilyakov ◽  
N. Yu. Korobova ◽  
...  
Keyword(s):  
Cyst Formation ◽  
Diagnostic Techniques ◽  
Current Level ◽  
Popliteal Cyst ◽  
Resonance Imaging ◽  
Baker’S Cyst ◽  
Medicine Development ◽  
Baker's Cyst ◽  
Asymptomatic Patients ◽  
Surgical Treatments

A popliteal cyst or Baker’s cyst is easily distinguished from other cystic or solid tumors on the magnetic resonance imaging sections. At the current level of medicine development, many options have been developed for medical and surgical treatments for popliteal cysts; however, there are still disputes on their validity and efficiency. In addition, there is no consensus on the etiology and pathogenesis of the disease. MRI is known to show similar intraarticular changes in asymptomatic patients and articular syndrome patients, which could suggest that intraarticular pathological changes played a secondary role in a number of cases of Baker’s cyst formation. Under these conditions, laser-induced thermotherapy is considered by the authors to be justified. Its main goal is to coagulate the wall of the tissue cyst, which subsequently leads to obliteration of its anastomosis and cavity. Ultrasound control is used to visualize and ensure the safety of manipulation. This paper describes a case of MRI for diagnosing a popliteal cyst and monitoring the efficiency of laser-induced thermotherapy.

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.

Leukocyte-rich platelet-rich plasma application in post-traumatic osteoarthritis with popliteal cyst: a case report

2020 ◽  
Vol 15 (6) ◽  
pp. 1695-1702
Author(s):  
Bo Song ◽  
Peter Chia Yeh ◽  
Prathap Jayaram
Keyword(s):  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Cruciate Ligament ◽  
Symptom Relief ◽  
Basketball Player ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Patient Reported ◽  
Post Traumatic

Aim: To describe the successful treatment of a Baker’s cyst in the setting of post-traumatic osteoarthritis using ultrasound-guided injection of platelet-rich plasma. Setting: Outpatient sports clinic. Patient: 29-year old male basketball player. Case description: The patient presented with 2-months history of right knee pain, 17 months after undergoing right knee anterior cruciate ligament reconstruction surgery. Exam revealed medial joint line and medial collateral ligament tenderness with posterior knee swelling. After aspiration, a corticosteroid injection was administered with temporary symptom relief. Diagnostic ultrasound examination confirmed the Baker’s cyst. The patient then underwent two serial leukocyte-rich platelet-rich plasma injections into his right knee. Results: The patient reported complete resolution of pain and cyst size. Conclusion: Leukocyte-rich platelet-rich plasma may be considered as a treatment option for patients with Baker’s cysts in the setting of post-traumatic osteoarthritis.

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.

Popliteal cyst simulating a Baker's cyst in a patient with Rheumatoid Arthritis: a case presentation

2011 ◽  
Vol 7 (2) ◽  
pp. 137-138
Author(s):  
Concepción Chalmeta Verdejo ◽  
Juan José Alegre Sancho ◽  
José Andrés Román Ivorra ◽  
José Ivorra Cortes
Keyword(s):  
Rheumatoid Arthritis ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Case Presentation ◽  
Baker's Cyst

scholarly journals Radioactive colloidal gold. In chronic knee effusions with Baker's cyst formation.

1970 ◽  
Vol 29 (2) ◽  
pp. 159-163 ◽  
Author(s):  
R Grahame ◽  
N W Ramsey ◽  
J T Scott
Keyword(s):  
Colloidal Gold ◽  
Cyst Formation ◽  
Baker’S Cyst ◽  
Baker's Cyst

scholarly journals Baker’s cyst in children: conservative management versus surgical excision according to clinical and imaging criteria

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mohammed A. Mansour ◽  
Mohammed A. Shehata ◽  
Mohammed M. Shalaby ◽  
Mohammed A. Arafa ◽  
Hisham A. Almetaher
Keyword(s):  
Conservative Management ◽  
Surgical Excision ◽  
Popliteal Cyst ◽  
First Year ◽  
Baker’S Cyst ◽  
X Ray ◽  
Persistent Symptoms ◽  
Baker's Cyst ◽  
The Mean

Abstract Background Pediatric patients rarely exhibit Baker’s cysts. This study was conducted on 15 cases (9 males, 6 females) presented with Baker (popliteal) cyst in the last 2 years (from September 2017 to September 2019). The mean age was 8.5 years. The aim of this study was to present our experience in management of these cases based on clinical and imaging criteria. Plain x-ray and knee ultrasonography were routinely done for all cases. If the size of the cyst was less than or equal to 3 cm by ultrasonography, with no or minimal pain, the patients were managed conservatively and were scheduled to followed up visits after 3 months, 6 months, and after 12 months for clinical assessment of symptoms and sonographic size of the cyst. Surgical excision of the Baker’s cyst was considered if the size of the cyst was more than 3 cm with persistent of pain. Results Seven cases had cysts less than 3 cm by ultrasonography and were managed conservatively. In five out of these seven cases, the cysts disappeared with no recurrence within the first year of follow-up. In two cases, the cysts increased in size with increase in pain. These two cases were subjected to surgical excision after 1 year of follow-up. The remaining eight cases had cysts more than 3 cm and were managed by surgical excision. Out of the ten cases which were managed by surgical excision, recurrence occurred in 3 cases within the first post-operative year (after 4 months, 7 months, and 8 months) consecutively. Conclusions The management of Baker’s cysts in children is debatable, with no definite protocol. In this current study, we conclude that surgical excision of large Baker’s cysts (more than 3 cm) with persistent symptoms is crucial providing meticulous dissection without rupture of the cyst and proper closure of the pedicle which connects the cyst with the knee joint, while conservative management and follow-up is effective in small Baker’s cysts (less than 3 cm) with no recurrence.

DELAYED CYST FORMATION AFTER GAMMA KNIFE RADIOSURGERY FOR BRAIN METASTASES

Neurosurgery ◽  
2009 ◽  
Vol 65 (4) ◽  
pp. 689-695 ◽  
Author(s):  
Eiichi Ishikawa ◽  
Masaaki Yamamoto ◽  
Atsushi Saito ◽  
Yuji Kujiraoka ◽  
Tatsuo Iijima ◽  
...  
Keyword(s):  
Brain Metastases ◽  
Gamma Knife ◽  
Surgical Intervention ◽  
Gamma Knife Radiosurgery ◽  
Cyst Formation ◽  
Resonance Imaging ◽  
Surgical Treatments ◽  
The Brain ◽  
Median Interval

Abstract OBJECTIVE Gamma knife radiosurgery (GKRS) is occasionally a useful tool for maintaining good brain status in patients with brain metastases (METs). Conversely, we recently experienced patients with delayed cyst formation (DCF) several years after GKRS, a complication not previously reported. Herein we assessed the frequency and characteristics of DCF after GKRS for METs. METHODS Eighty of 1209 patients with METs treated with GKRS maintained good brain status for more than 3 years without regrowth of tumorous lesions in the brain. In this study, DCF was defined as secondary cyst formation more than 3 years after the first GKRS in patients with METs who did not have cysts at the start of MET treatment. The 80 patients were divided into 2 groups (DCF group and non-DCF group) for assessment of the frequency and characteristics of DCF. Of the patients with cystic METs at the start of MET treatment, 16 were included in the latter group. RESULTS Among these 80 patients, 8 had DCF after GKRS (DCF group), detected by magnetic resonance imaging from 37 to 121 months after the first GKRS (median interval of 53 months). Of these 8 patients, 7 were symptomatic, and surgical treatments including Ommaya reservoir placement were needed in 5. A comparison of the non-DCF and DCF groups revealed that a higher number of GKRS treatments was a risk factor for DCF. Moreover, patients surviving more than 5 years after the initial GKRS are at risk for DCF. CONCLUSION Although DCF is not a widely recognized complication of GKRS for METs, we advocate careful follow-up, with surgical intervention for DCF if necessary, for frequently irradiated and long-surviving patients with METs treated with GKRS.

scholarly journals Radiation Diagnosis and Therapy of Vertebral Hemangiomas

2020 ◽  
Vol 101 (3) ◽  
pp. 183-192
Author(s):  
S. A. Mizyurov ◽  
V. V. Zaretskov ◽  
S. V. Likhachev ◽  
A. V. Zaretskov ◽  
K. K. Levchenko ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Radiation Therapy ◽  
Surgical Treatment ◽  
Diagnostic Techniques ◽  
Resonance Imaging ◽  
Present Stage ◽  
Selective Angiography ◽  
Medicine Development ◽  
Vertebral Hemangiomas

The literature review is devoted to the current radiation methods for studying vertebral hemangiomas. The significance of basic (radiography, computed tomography, and magnetic resonance imaging) and additional (Doppler ultrasound, scintigraphy, and selective angiography) diagnostic techniques is analyzed and their role in determining the indications for surgical treatment is clarified. The priority of computed tomography over other imaging methods for this pathology is established. The use of radiation therapy for vertebral hemangiomas at the present stage of medicine development is highlighted.

scholarly journals Age-Related, Ultrasound and Histomorphological Features of Baker's Cyst

2018 ◽  
Vol 7 (2) ◽  
pp. 44-49
Author(s):  
S. Yu. Medvedeva ◽  
G. V. D'yachkova ◽  
K. A. D'yachkov ◽  
N. S. Migalkin ◽  
L. V. Mal'tseva
Keyword(s):  
Age Groups ◽  
Morphological Structure ◽  
Popliteal Cyst ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Morphological Studies ◽  
Joint Pathology ◽  
Age Related ◽  
The Difference ◽  
Morphological Differences

The aim of the study was to reveal the features of the morphological structure and ultrasonic signs of Baker's cyst in patients of different ages. Material and methods. The study is based on a sonographic study of 213 patients (mean age 57.2±9.9 years) and 10 children aged 6 to 10 years with a detected Baker cyst. The size of the cyst was studied, its position, relationship with surrounding tissues was examined on sonographic equipment. In addition, parameters were measured, including the thickness of the synovium, the presence of septa and echo-inclusions, the degree of echogenicity of the contents of the cyst. All patients underwent open extirpation of the cyst followed by its morphological analysis. All manipulations were carried out after signing the informed consent of the patient or his legal representatives according to the recommendations "About legal, legislative and ethical norms and requirements in the performance of scientific morphological studies". Preparation of the histological material obtained after the removal of Baker's cyst was carried out according to standard procedures, followed by staining with hemothoxylin-eosin and Van Guzon. The obtained preparations were examined under a light microscope with the possibility of displaying an image on a computer monitor Results. In all adults with an identified Baker cyst, gonarthrosis of varying severity was detected, in contrast to children who had no such joint pathology. Morphological differences in the transformation of the tissues of education in different age groups were also significant. The difference was noted in the form of unexpressed dystrophy of the synovial membrane and the absence of necrotic and degenerative changes in the wall of the cyst in children. Conclusions. This work demonstrated several significant ultrasound and morphological differences in the popliteal cyst in children and adults.

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