scholarly journals Giant Baker’s Cyst Associated with Rheumatoid Arthritis

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Levent Adiyeke ◽  
Emre Bılgın ◽  
Tahir Mutlu Duymus ◽  
İsmail Emre Ketencı ◽  
Meriç Ugurlar
Keyword(s):  
Rheumatoid Arthritis ◽  
Rare Case ◽  
Medial Meniscus ◽  
Popliteal Fossa ◽  
Baker’S Cyst ◽  
Palpable Mass ◽  
Baker's Cyst ◽  
Semimembranosus Tendon ◽  
Left Calf

We report a rare case of a “giant Baker’s cyst-related rheumatoid arthritis (RA)” with 95 × 26 mm dimensions originating from the semimembranosus tendon. The patient presented with chronic pain and a palpable mass behind his left calf located between the posteriosuperior aspect of the popliteal fossa and the distal third of the calf. In MRI cystic lesion which was located in soft tissue at the posterior of gastrocnemius, extensive synovial pannus inside and degeneration of medial meniscus posterior horn were observed. Arthroscopic joint debridement and partial excision of the cyst via biomechanical valve excision were performed. The patient continued his follow-up visits at Rheumatology Department and there was no recurrence of cyst-related symptoms in 1-year follow-up. Similar cases were reported in the literature previously. However, as far as we know, a giant Baker’s cyst-related RA, which was treated as described, has not yet been presented.

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.

AB0767 Comparison of Inraarticular and Intracyst Corticosteroid Injections in the Treatment of Baker's Cyst with Ultrasonographic Follow-Up

2014 ◽  
Vol 73 (Suppl 2) ◽  
pp. 1058.2-1058
Author(s):  
A. Bal ◽  
H. Sancıoglu ◽  
N. Tezel ◽  
D. Erdogdu ◽  
O. Karaahmet ◽  
...  
Keyword(s):  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Corticosteroid Injections

Baker's Cyst in a Patient with Rheumatoid Arthritis

2009 ◽  
Vol 361 (11) ◽  
pp. 1098-1098 ◽  
Author(s):  
Catherine Bakewell ◽  
Carin Dugowson
Keyword(s):  
Rheumatoid Arthritis ◽  
Baker’S Cyst ◽  
Baker's Cyst

Removal and successful re-implantation of a customized interpositional knee device following an early postoperative infection: A case report

Open Medicine ◽  
2010 ◽  
Vol 5 (4) ◽  
pp. 442-446 ◽  
Author(s):  
Franz Koeck ◽  
Bjoern Rath ◽  
Hans-Robert Springorum ◽  
Markus Tingart ◽  
Joachim Grifka ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Revision Surgery ◽  
Rare Case ◽  
Postoperative Infection ◽  
Clinical Results ◽  
Total Knee Arthroplasties ◽  
First Case ◽  
Alternative Treatment Option ◽  
Total Knee

AbstractWe report the first case of early postoperative infection after a medial hemiarthroplasty of the knee with a customized ConforMIS iForma™ interpositional device. The infection was treated successfully by revision surgery with implant removal and antibiotic therapy. Despite the additional diagnosis of rheumatoid arthritis that did not affect the treated knee, the preservation of bony and ligamentous structures enabled a successful re-implantation of another iForma™ implant 9 months later with good clinical results at follow-up examination 1 year postoperatively. This is very much in contrast to the extensive and complex revision surgery, with significant bone loss, in patients with infected unicompartmental or total knee arthroplasties. The iForma™ device may be an alternative treatment option in early and moderate unicompartmental arthritis of the knee, with easy revision with the same type of implant in the rare case of infection.

scholarly journals Natural course of Baker’s cysts in a total knee arthroplasty population

2020 ◽  
Vol 8 (5_suppl4) ◽  
pp. 2325967120S0028
Author(s):  
Hagen Hommel ◽  
Sebastian Kopf
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Natural Course ◽  
Cyst Size ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Adjacent Structures ◽  
Total Knee ◽  
The Mean

Aims and Objectives: Baker’s cysts are known to be a source of discomfort and pain due to pressure on adjacent structures. They are not uncommon in patients eligible for total knee arthroplasty (TKA). Since there is a paucity of medium-term studies that assess the natural course of Baker’s cyst following TKA, in this study we report the one- and five-year outcomes of patients to elucidate the state of their Baker’s cyst following TKA. Materials and Methods: In this prospective case series, 102 TKA patients were included. All patients who received surgery had a diagnosis of primary osteoarthritis and had preoperatively presented with a Baker’s cyst. Sonography was performed to evaluate the existence and the gross size of the cyst before TKA, and sonography was repeated at one and five years after TKA. Symptoms potentially attributable to the Baker’s cyst were recorded at each assessment. In addition, the five-year assessment included a sonographic assessment of the anterior aspect of the knee to identify joint effusion. Results: Ninety-one patients were available for the five-year assessment (with an 89% follow-up rate). After one and five years, Baker’s cyst was still present in 87 (85%) and 30 (33%) patients, respectively. Of those patients who retained a Baker’s cyst at one-year follow up, 31 patients (36%) had sustained popliteal symptoms. Of those patients who continued to have a Baker’s cyst at five years, 17 patients (56.7%) were still symptomatic. The probability of entering remission was dependent on the size of the Baker’s cyst at baseline (odds ratio, 1.41; p = 0.025). The mean preoperative cyst size was 14.5 cm2. At one and five years postoperatively, the mean cyst size was 10.6 cm2 and 9.9 cm2, respectively. At five years, no association between cyst size and popliteal symptoms was found. Conclusion: Five years after TKA, the majority of the Baker’s cysts that were present at baseline had gone into remission. The probability of going into remission was dependent on the size of the Baker’s cyst at baseline.

scholarly journals Ruptured Baker's Cyst in Rheumatoid Arthritis

2019 ◽  
Vol 58 (3) ◽  
pp. 455-455 ◽  
Author(s):  
Jun Nakamura ◽  
Takao Nagashima ◽  
Yoichiro Akiyama ◽  
Seiji Minota
Keyword(s):  
Rheumatoid Arthritis ◽  
Baker’S Cyst ◽  
Baker's Cyst

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

The fate of Baker’s cysts at mid-term follow-up after total knee arthroplasty

2020 ◽  
Vol 102-B (1) ◽  
pp. 132-136
Author(s):  
Hagen Hommel ◽  
Roland Becker ◽  
Peter Fennema ◽  
Sebastian Kopf
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Case Series ◽  
Short Term ◽  
Cyst Size ◽  
Baker’S Cyst ◽  
Baker's Cyst ◽  
Total Knee ◽  
The Mean

Aims We report the natural course of Baker’s cysts following total knee arthroplasty (TKA) at short- and mid-term follow-up. Methods In this prospective case series, 105 TKA patients were included. All patients who received surgery had a diagnosis of primary osteoarthritis and had preoperatively presented with a Baker’s cyst. Sonography and MRI were performed to evaluate the existence and the gross size of the cyst before TKA, and sonography was repeated at a mean follow-up time of 1.0 years (0.8 to 1.3; short-term) and 4.9 years (4.0 to 5.6; mid-term) after TKA. Symptoms potentially attributable to the Baker’s cyst were recorded at each assessment. Results At the one-year follow-up analysis, 102 patients were available. Of those, 91 patients were available for the 4.9-year assessment (with an 86.7% follow-up rate (91/105)). At the short- and mid-term follow-up, a Baker’s cyst was still present in 87 (85.3%) and 30 (33.0%) patients, respectively. Of those patients who retained a Baker’s cyst at the short-term follow-up, 31 patients (35.6%) had popliteal symptoms. Of those patients who continued to have a Baker’s cyst at the mid-term follow-up, 17 patients (56.7%) were still symptomatic. The mean preoperative cyst size was 14.5 cm2 (13.1 to 15.8). At the short- and mid-term follow-up, the mean cyst size was 9.7 cm2 (8.3 to 11.0) and 10.4 cm2 (9.8 to 11.4), respectively. A significant association was found between the size of the cyst at peroperatively and the probability of resolution, with lesions smaller than the median having an 83.7% (36/43) probability of resolution, and larger lesions having a 52.1% (25/48) probability of resolution (p < 0.001). At the mid-term follow-up, no association between cyst size and popliteal symptoms was found. Conclusion At a mean follow-up of 4.9 years (4.0 to 5.6) after TKA, the majority (67.0%, 61/91) of the Baker’s cysts that were present preoperatively had disappeared. The probability of cyst resolution was dependent on the size of the Baker’s cyst at baseline, with an 83.7% (36/43) probability of resolution for smaller cysts and 52.1% (25/48) probability for larger cysts. Cite this article: Bone Joint J. 2020;102-B(1):132–136

Clinical images: Baker's cyst in rheumatoid arthritis

2011 ◽  
Vol 63 (3) ◽  
pp. 774-774 ◽  
Author(s):  
Atsushi Nomura ◽  
Yoshiro Fujita ◽  
Yoichiro Haji ◽  
Makoto Yamaguchi ◽  
Tatsuhito Tomino ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Baker’S Cyst ◽  
Clinical Images ◽  
Baker's Cyst
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