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Ruptured Baker's Cyst


Presentation

  • Abstract We report a case of Epstein-Barr (EB) infection that presented as an acute monoarthritis of the knee. This formed a Baker's cyst which ruptured into the gastrocnemius.[ncbi.nlm.nih.gov]
  • Abstract A 35 year old man presented with the sudden onset of left leg pain and swelling. Empirical anticoagulation for presumed deep vein thrombophlebitis was followed by acute worsening of symptoms.[ncbi.nlm.nih.gov]
  • Abstract The clinical presentation of a ruptured Baker's cyst and of thrombophlebitis can be identical. Venography, arthrography, and more recently ultrasonography have been used to differentiate these two entities.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Trauma and Orthopaedics, Queen's Hospital, Burton-on-Trent, UK. galanop.ilias@gmail.com Abstract A 69-year-old man presented with sudden onset of pain with acute tense swelling of his left leg.[ncbi.nlm.nih.gov]
  • In contrast, infected ruptured Baker’s cyst may present with painful limb swelling, fever, and persistent leukocytosis.[journals.lww.com]
Lymphedema
  • Deep vein thrombosis was found in 163 cases (38.1%), lymphedema in 26 cases (6.1%), and ruptured Baker’s cysts in 5 cases (1.2%: 2 men, 3 women; mean age 66.4 years).[ci.nii.ac.jp]
Calf Pain
  • And it is common for a burst cyst to lead to calf pain, redness, and swelling that resembles thrombophlebitis. The doctor needs to exclude this issue if you have a Baker's cyst confirmed via ultrasonography and MRI.[medguidance.com]
  • Acute rupture of large cysts may cause severe calf pain and swelling similar to a DVT. Document neurovascular exam, especially in large cysts which have potential to compress the neurovascular structures in the popliteal space.[eorif.com]
  • Also, be aware that in addition to symptoms of knee swelling, pain and stiffness, in some cases a Baker's cyst can rupture, resulting in sudden calf pain and swelling.[articles.chicagotribune.com]
  • A burst cyst commonly causes calf pain, swelling and redness that may mimic thrombophlebitis . Baker's cyst (popliteal cyst) is located behind the knee and is a swelling of the popliteal bursa.[en.wikipedia.org]
Joint Swelling
  • Baker's cysts are common and can be caused by virtually any cause of joint swelling ( arthritis ).[medicinenet.com]
  • Baker cysts are not uncommon and can be caused by virtually any cause of joint swelling ( arthritis ). The excess joint fluid (synovial fluid) bulges to the back of the knee to form the Baker cyst.[ipcphysicaltherapy.com]
Anger
  • Report The Leopard • March 3, 2016 8:57 PM GMT Got hit by a ball at full pelt on the calf muscle by a teacher at my school.....wasn't in play but after a shot he missed and was wacking the ball in anger.....he felt sheepish.[community.betfair.com]
Withdrawn
  • When the steroid was withdrawn, the pain came back. Thread Status: Not open for further replies.[bonesmart.org]
Excitement
  • The poor lady had to witness my happy dance and be subjected to an excited hug. I love my job. Baker's cyst is a buildup of joint fluid (synovial fluid) that forms a cyst behind the knee. Causes A Baker's cyst is caused by swelling in the knee.[emmetttechniquecairns.com]

Treatment

  • Treatment Often no treatment is needed. The health care provider can watch the cyst over time. If the cyst is painful, the goal of treatment is to correct the problem that is causing the cyst, such as arthritis or a meniscus tear.[emmetttechniquecairns.com]
  • Treatment for Ruptured Baker’s Cyst The Baker’s cyst usually does not need any treatment and it will disappear on its own. However, when the cyst bursts, you may need some self-care treatment for the pain.[newhealthadvisor.com]
  • A. i don't know about alternative medicine treatments- but i know of treatments they do when they start to be painful: * Physical therapy- Icing, a compression wrap, and crutches may help reduce pain and swelling.[medical-dictionary.thefreedictionary.com]
  • After treatment of one month I again went for ultrasound which was OK. But still the pain persist. I am having pa ...[practo.com]

Prognosis

  • Outlook (Prognosis) A Baker's cyst will not cause any long-term harm, but it can be annoying and painful. The symptoms of Baker's cysts usually come and go. Long-term disability is rare. Most people improve with time or arthroscopic surgery.[emmetttechniquecairns.com]
  • Treatment and prognosis In children, they can be common, with most spontaneously resolving within 10-20 months. Aspiration may be performed, with steroid injection shown to be beneficial in reducing Baker cyst size and improving symptoms 5,6,10 .[radiopaedia.org]
  • Uncommon complications include: Meniscal tears Rupture of the baker’s cyst Thrombophlebitis Bruising Chronic pain and swelling Prognosis Baker’s cysts do not cause significant harm if measures are taken. However, it can be painful and irritating.[healthfoxx.com]

Etiology

  • Synovial cyst of popliteal space [Baker], unspecified knee M71.21 - Synovial cyst of popliteal space [Baker], right knee M71.22 - Synovial cyst of popliteal space [Baker], left knee Bakers Cyst ICD-9 727.51 (synovial cyst of popliteal space) Bakers Cyst Etiology[eorif.com]
  • These popliteal cysts have a multifactorial etiology but generally they are the final manifestation of intraarticular pathology of the knee joint.[omicsonline.org]

Epidemiology

  • […] of popliteal space [Baker], unspecified knee M71.21 - Synovial cyst of popliteal space [Baker], right knee M71.22 - Synovial cyst of popliteal space [Baker], left knee Bakers Cyst ICD-9 727.51 (synovial cyst of popliteal space) Bakers Cyst Etiology / Epidemiology[eorif.com]
  • Overview A condition characterized by a local collection of synovial fluid within or adjacent to the meniscus Epidemiology incidence no studies of the general population found in 1-4% of MRI studies of the knee demographics most commonly associated with[orthobullets.com]
Sex distribution
Age distribution

Pathophysiology

  • ., baker cysts) extruded fluid outside the meniscus (most common) usually located between semimembranosus and medial head of gastrocnemius Pathophysiology mechanism of injury meniscal tear functions as a one-way valve synovial fluid extrudes and then[orthobullets.com]

Prevention

  • How to Prevent It It is common to injure your knee, putting yourself at risk of a ruptured Baker's cyst during sporting activities.[medguidance.com]
  • Prevention of a Baker’s cyst Knee joint trauma during exercise and sporting activities is common.[newhealthadvisor.com]
  • Prevention of thromboembolism in spinal cord injury. Washington, DC: Paralyzed Veterans of America (PVA), 1999, pp. 4–5 2. Suárez JI. Critical Care Neurology and Neurosurgery. Totowa, New Jersey, Humana Press Inc., 2004, p. 204 3.[journals.lww.com]
  • Knee strengthening exercises and knee stretches can often help to prevent a popliteal cyst returning.[knee-pain-explained.com]

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