Presentation
We report a case of 15-year boy who presented to the emergency room with symptoms of calf pain and swelling for two weeks. He was in good health previously, and had no underlying knee pathology. [ncbi.nlm.nih.gov]
Subacromial bursitis is usually secondary to impingement and presents with pain around the shoulder. [academic.oup.com]
Entire Body System
-
Soft Tissue Swelling
We describe a patient with rheumatoid arthritis who presented following the rapid onset of a fluid‐filled soft tissue swelling on the anterior aspect of the upper arm. [academic.oup.com]
Hematological
-
Subcutaneous Bleeding
In the cases of ruptured Baker’s cysts, there were preceding knee pain in 2 cases, the history of osteoarthritis in 3 cases, leg edema in 2 cases, calf muscle tenderness in 2 cases, and subcutaneous bleeding of the foot in one case. [ci.nii.ac.jp]
Cardiovascular
-
Homans' Sign
’s sign), localized warmth, localized tenderness on calf palpation and possible swelling, elevated body temperature Benign tumor Localized pain and tenderness, may be palpably soft or hard, may cause movement dysfunction (location dependent) Malignant [physio-pedia.com]
Skin
-
Ulcer
A nonhealing ischial pressure ulcer on the affected limb prompted him to seek medical attention. He had no other associated symptoms. [journals.lww.com]
Musculoskeletal
-
Calf Pain
We report a case of 15-year boy who presented to the emergency room with symptoms of calf pain and swelling for two weeks. He was in good health previously, and had no underlying knee pathology. [ncbi.nlm.nih.gov]
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]
-
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]
-
Monoarthritis of the Knee
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. The peripheral and synovial white blood counts were dominated by neutrophils. [ncbi.nlm.nih.gov]
-
Muscle Tenderness
In the cases of ruptured Baker’s cysts, there were preceding knee pain in 2 cases, the history of osteoarthritis in 3 cases, leg edema in 2 cases, calf muscle tenderness in 2 cases, and subcutaneous bleeding of the foot in one case. [ci.nii.ac.jp]
-
Shoulder Swelling
Shoulder swelling in rheumatoid arthritis secondary to subacromial bursitis. Arthritis Rheum 1978 ; 21 : 145 –7. 10 Takayama A, Ito H, Shirai Y. Subacromial bursitis mimicking a soft tissue tumor. J Shoulder Elbow Surg 2000 ; 9 : 72 –5. [academic.oup.com]
Psychiatrical
-
Suggestibility
A history of previous disease involving the knee, especially rheumatoid arthritis, or the finding of joint effusion are suggestive of the diagnosis of ruptured Baker's cyst. This may be confirmed by arthrography. [ncbi.nlm.nih.gov]
If this paper’s suggestions are followed, a negative D-Dimer would preclude ultrasound scanning in many cases. Ruptured Baker’s cysts are a significant cause of pain and disability, which can be helped by prompt treatment. [bmj.com]
The characteristic enhancement suggested the possibility of a chronic popliteal cyst with intracystic hemorrhage. The mass appeared to be superficial to the muscle and compressed the muscle component. [faoj.org]
-
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]
Neurologic
-
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]
-
Neglect
6/24/2010 10:03AM - in reply to Track Fan Brian Several years ago, I had an unruptured Baker's cyst that kept me from runnign for several weeks (neglected to go to the doctor to get it diagnosed - thought it was a calf injury). [letsrun.com]
Workup
Presentation History The workup of all cysts about the knee should start with a thorough history and physical examination. [emedicine.medscape.com]
[…] cyst can rarely present as a swelling on the anterior surface of the proximal tibia as part of the differential diagnoses when faced with a patient with a previous history of an ipsilateral total knee arthroplasty [5] Diagnostic Procedures The imaging workup [physio-pedia.com]
[…] arthropathy, but in most cases they are simply distention of a primary gastrocnemio-semimembranosus bursa and are believed to occur as a result of local mechanical irritation. 14 When a cystic mass around the knee is evident, imaging and diagnostic workup [healio.com]
Microbiology
-
Staphylococcus Aureus
Cultures returned positive for Methicillin-sensitive Staphylococcus aureus, and he was switched to intravenous Cefazolin. Baker’s cysts are usually painless swellings accompanying noninfectious knee joint effusions. [journals.lww.com]
This grew Staphylococcus aureus, and intravenous antibiotics were instituted (Benzyl penicillin 1.2g QDS and Flucloxacillin 1g QDS). [ispub.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]
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]
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]
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]
Pathophysiology The pathophysiology of benign knee cysts depends on the specific etiology. [emedicine.medscape.com]
These popliteal cysts have a multifactorial etiology but generally they are the final manifestation of intraarticular pathology of the knee joint. [omicsonline.org]
[…] gastrocnemius-semimembranosus bursa with synovial fluid and if the fluid outflow is hindered by a unidirectional mechanism, the gastrocnemius-semimembranosus bursa enlarges giving rise to a pseudocystic cavity, referred to as a Baker’s cyst. [2] Epidemiology /Etiology [physio-pedia.com]
This review discusses the anatomy and etiology of popliteal cysts, describes the common clinical presentations, reviews the differential diagnoses, and provides guidance for proper diagnostic imaging. [healio.com]
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]
[…] the gastrocnemius-semimembranosus bursa with synovial fluid and if the fluid outflow is hindered by a unidirectional mechanism, the gastrocnemius-semimembranosus bursa enlarges giving rise to a pseudocystic cavity, referred to as a Baker’s cyst. [2] Epidemiology [physio-pedia.com]
Epidemiology Frequency Sansone et al reported a 4.7% prevalence rate of popliteal cysts in a series of 1001 adult patients. [7] Their most common associated lesions were meniscal lesions (83%), most frequently involving the posterior horn of the medial [emedicine.medscape.com]
The popliteal bursa (Baker’s cyst): an arthroscopic perspective and the epidemiology. Arthroscopy. 1997; 13:66–72. doi:10.1016/S0749-8063(97)90211-5 [CrossRef] Sansone V, de Ponti A, Paluello GM, del Maschio A. [healio.com]
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]
Pathophysiology The pathophysiology of benign knee cysts depends on the specific etiology. [emedicine.medscape.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]
During this time, excessive motion of the knees should be prevented, although a simple range of motion exercises is essential in restoring the mobility of the knee joint. [healthfoxx.com]