Abstract
Synovial cysts are well-defined fluid filled cysts that can extend for a variable distance outside the joint space. These cysts can sometimes grow to a large size making its treatment challenging especially when associated with intra-articular pathologies.We describe a case of giant synovial cyst arising from the left knee and extending to the medial proximal calf in a 77-year old female who presented with knee joint pain, episodes of locking and calf mass occurring within 2 months of onset. Imaging studies also showed associated medial and lateral meniscal tears with medial compartment and patellofemoral osteoarthritis. The cyst was treated by disrupting the valvular mechanism using a standard posteromedial portal and complete excision of the cyst wall via a posteromedial cystic portal. The meniscal lesions were dealt with through the standard anterior portals. At 25-month follow up there were no signs of recurrence of the cyst clinically or with MRI. The cystic portal technique is effective in treating a giant synovial cyst of the knee even in the presence of meniscal tears and high grade chondral lesions.
Original language | English |
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Pages (from-to) | 175-178 |
Number of pages | 4 |
Journal | Knee Surgery, Sports Traumatology, Arthroscopy |
Volume | 16 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2008 Feb |
Keywords
- Arthroscopy
- Knee
- Synovial cyst
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine