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DOI: 10.1055/s-0044-1787546
Giant Baker Cyst Extending Up to the Gastrocnemius: A Case Report
Artikel in mehreren Sprachen: português | English Financial Support The authors declare that they have received no funding from agencies in the public, private, or non-profit sectors for the conduction of the present study.Abstract
Baker cyst is an abnormal enlargement of the gastrocnemius-semimembranous bursa behind the knee joint due to an exit of joint fluid.
We herein report a rare case of giant Baker cyst in a rheumatic arthritic female patient. An MRI scan showed a complex, multiloculated cyst measuring 11.8 cm x 4.6 c, x 3.3 cm, arising from the left knee joint. Open surgical excision of the lesion was performed, and no recurrence was observed during the one-year follow up in the Rheumatology and Orthopedics Department.
A natural tendency towards intermuscular extension is observed; thus, intramuscular extensions are rarely reported in the literature. To the best of our knowledge, no Baker cyst of such size has been operated in a rheumatoid arthritis patient.
Authors' Contributions
Each author contributed individually and significantly to the development of the present article: AAS worked on the conception and design, while MWK, TA, and SA performed drafting, data collection, acquisition, analysis, and interpretation of data. JQ and SS played a role in critical revision and appraisal and contributed equally to all the tasks.
Work developed at the Orthopedic Surgery Department of Dr. Ruth K. M .Pfau Civil Hospital, Karachi, Pakistan.
Publikationsverlauf
Eingereicht: 26. Februar 2023
Angenommen: 06. November 2023
Artikel online veröffentlicht:
12. Juni 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil
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Referências
- 1 Fang CS, McCarthy CL, McNally EG. Intramuscular dissection of Baker's cysts: report on three cases. Skeletal Radiol 2004; 33 (06) 367-371
- 2 Kim TW, Suh JT, Son SM. et al. Baker's Cyst with Intramuscular Extension into Vastus Medialis Muscle. Knee Surg Relat Res 2012; 24 (04) 249-253
- 3 Li TY. A Case Study of Baker Cysts With Intramuscular Extension into the Medial Head of the Gastrocnemius. J Diagn Med Sonogr 2016; 32 (06) 382-386
- 4 Moon SH, Im S, Park GY. et al. Compressive neuropathy of the posterior tibial nerve at the lower calf caused by a ruptured intramuscular baker cyst. Ann Rehabil Med 2013; 37 (04) 577-581
- 5 Hamlet M, Galanopoulos I, Mahale A, Ashwood N. Ruptured Baker's cyst with compartment syndrome: an extremely unusual complication. BMJ Case Rep 2012; 2012: bcr2012007901
- 6 Valle Alonso J, Fonseca del Pozo FJ, Van der Bergh E, Kinderman H. Infected Baker's cyst, diagnosed in the emergency department using POCUS. POCUS J 2019; 4 (01) 6-8
- 7 Hung LP, Leung YF, Archie LB, Tony CKF. A Huge Infected Popliteal Cyst Dissecting into Gastrocnemius Mimicking Calf Abscess. J Orthop Trauma Rehabil 2015; 19 (02) 107-110
- 8 Adiyeke L, Bılgın E, Duymus TM, Ketencı İE, Ugurlar M. Giant Baker's Cyst Associated with Rheumatoid Arthritis. Case Rep Orthop 2017; 2017: 4293104
- 9 Bandinelli F, Fedi R, Generini S. et al. Longitudinal ultrasound and clinical follow-up of Baker's cysts injection with steroids in knee osteoarthritis. Clin Rheumatol 2012; 31 (04) 727-731
- 10 Acebes JC, Sánchez-Pernaute O, Díaz-Oca A, Herrero-Beaumont G. Ultrasonographic assessment of Baker's cysts after intra-articular corticosteroid injection in knee osteoarthritis. J Clin Ultrasound 2006; 34 (03) 113-117