Document Detail


'Not Always a Baker's Cyst' - An Unusual Presentation of a Central Voluminous Postero-Medial Meniscal Cyst.
MedLine Citation:
PMID:  23066435     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Harish Sivasubramanian; Gerard Ee; Manjunatha Ganiga Srinivasaiah; Shamal Das De; A M Sing
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Publication Detail:
Type:  Journal Article     Date:  2012-09-20
Journal Detail:
Title:  The open orthopaedics journal     Volume:  6     ISSN:  1874-3250     ISO Abbreviation:  Open Orthop J     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-15     Completed Date:  2012-10-16     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101480491     Medline TA:  Open Orthop J     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  424-8     Citation Subset:  -    
Affiliation:
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
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Erratum In:
Open Orthop J. 2012;6:589
Note: Sing, A M [added]

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