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.

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 Platelet rich plasma is better than corticosteroid in longterm outcome in planter fasciitis: A study in a tertiary level teaching hospital at Dhaka, Bangladesh

2019 ◽  
Vol 1 (Number 2) ◽  
pp. 11-14
Author(s):  
Md. Johurul Hoque ◽  
Muhammad Emam Zaman ◽  
Ripon Kumar Das ◽  
Mohammad Sayeed AL Mahmud ◽  
Mahbuba Khatun
Keyword(s):  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Plantar Fascia ◽  
Heel Pain ◽  
P Value ◽  
Heel Pad ◽  
Patient Reported ◽  
Long Term Follow Up ◽  
Prospective Comparative Study ◽  
And Function

This is a prospective comparative study to compare the efficacy of PRP injection versus corticosteroid injection for planter fasciitis. 35 male and 25 female (Mean Age 35.5 yrs.) presenting with planter fasciitis were randomized to receive there Platelet-rich plasma (PRP) injection (2ml PRP with 2ml of 2% xylocaine) given by a single surgeon. Patients were assessed before (Days0) and after (Days 30, 60, 90) treatment for chronic heel pain more than 6 months. Patients where followed up 1 year to assess heel pain over the calcaneal tuberocity. In the present study of 60 patients there were 35 male and 25 female. In the present study of 60 patients the mean age was 35.5 years (Range between 35 to 65 years). Infection, rupture of plantar fascia, heel pad atrophy and neurovascular damage where not found. Five patient reported pain for unto 9 days after PRP injection. In both groups heel pain improved dramatically after treatment, but the mode of improvement different. Compared with PRP injection. Corticosteroid injection improve at a faster rate over the first 30 days and then started to decline slightly until 90 days. After PRP injection heel pain, function improve steadily and where eventually better. PRP injection and Corticosteroid injection 30 days and faster rate 60 days of both group P-Value 0.0001. Almost high grater rate 60 days, group comparison with heel pain and function of the patients. PRP was more effective over the long term follow up period then corticosteroid injection in improving heel pain and function. That’s way we recommend PRP in a first line injection treatment because it is very simple, cheap and more effective.

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.

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

2012 ◽  
Vol 6 (1) ◽  
pp. 424-428 ◽  
Author(s):  
Harish Sivasubramanian ◽  
Gerard Ee ◽  
Manjunatha Ganiga Srinivasaiah ◽  
Shamal Das De ◽  
AM Sing
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Standard Of Care ◽  
Baker’S Cyst ◽  
Cystic Fluid ◽  
Meniscal Cyst ◽  
Baker's Cyst ◽  
Magnetic Resonance Imaging Mri ◽  
Needle Decompression ◽  
Posterior Knee

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.

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

Platelet-rich plasma for the treatment of coccydynia: a case report and review of regenerative medicine for coccydynia

2019 ◽  
Vol 14 (12) ◽  
pp. 1151-1154
Author(s):  
Walter I Sussman ◽  
Mairin A Jerome ◽  
Lisa Foster
Keyword(s):  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Post Injection ◽  
Ultrasound Guided ◽  
Plasma Injection ◽  
Patient Reported ◽  
Sacral Hiatus ◽  
Practice Patient ◽  
Point Tenderness

Aim: To describe the successful treatment of coccydynia using ultrasound-guided injection of platelet-rich plasma. Setting: Outpatient orthopedic practice. Patient: 17-year-old female with BMI of 42.6. Case description: The patient presented with 6 months of nontraumatic coccygeal pain exacerbated by sitting. Physical exam was significant for point-tenderness over the sacral hiatus and coccyx. A corticosteroid injection around the sacrococcygeal ligament was administered with immediate resolution of her pain following the injection with the anesthetic. The patient reported significant pain relief for 1 week. The superficial sacrococcygeal ligament was then treated with a platelet-rich plasma injection under US guidance. Results: The patient reported a 70% improvement in pain and sitting tolerance at 6 weeks. By 6 months post injection, her pain was 100% resolved, and she remained pain free at the 12-month follow-up. Conclusion: Platelet-rich plasma may be considered as a treatment option in patients with refractory coccydynia.

scholarly journals Longterm Effectiveness of Intraarticular Injections on Patient-reported Symptoms in Knee Osteoarthritis

2018 ◽  
Vol 45 (9) ◽  
pp. 1316-1324 ◽  
Author(s):  
Shao-Hsien Liu ◽  
Catherine E. Dubé ◽  
Charles B. Eaton ◽  
Jeffrey B. Driban ◽  
Timothy E. McAlindon ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Knee Osteoarthritis ◽  
Corticosteroid Injection ◽  
Symptom Relief ◽  
Structural Models ◽  
Marginal Structural Models ◽  
Knee Oa ◽  
Patient Reported ◽  
User Design ◽  
Injection Use

Objective.We examined the longterm effectiveness of corticosteroid or hyaluronic acid injections in relieving symptoms among persons with knee osteoarthritis (OA).Methods.Using Osteoarthritis Initiative data, a new-user design was applied to identify participants initiating corticosteroid or hyaluronic acid injections (n = 412). Knee symptoms (pain, stiffness, function) were measured using The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). We used marginal structural models adjusting for time-varying confounders to estimate the effect on symptoms of newly initiated injection use compared to nonusers over 2 years of followup.Results.Among 412 participants initiating injections, 77.2% used corticosteroid injections and 22.8% used hyaluronic acid injections. About 18.9% had additional injection use after initiation, but switching between injection types was common. Compared to nonusers, on average, participants initiating a corticosteroid injection experienced a worsening of pain (yearly worsening: 1.24 points, 95% CI 0.82–1.66), stiffness (yearly worsening: 0.30 points, 95% CI 0.10–0.49), and physical functioning (yearly worsening: 2.62 points, 95% CI 0.94–4.29) after adjusting for potential confounders with marginal structural models. Participants initiating hyaluronic acid injections did not show improvements of WOMAC subscales (pain: 0.50, 95% CI −0.11 to 1.11; stiffness: −0.07, 95% CI −0.38 to 0.24; and functioning: 0.49, 95% CI −1.34 to 2.32).Conclusion.Although intraarticular injections may support the effectiveness of reducing symptoms in short-term clinical trials, the initiation of corticosteroid or hyaluronic acid injections did not appear to provide sustained symptom relief over 2 years of followup for persons with knee OA.

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.

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