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- Title
Treatment of Popliteal (Baker) Cysts With Ultrasound-Guided Aspiration, Fenestration, and Injection: Long-term Follow-up.
- Authors
Smith, Marvin K.; Lesniak, Bryson; Baraga, Michael G.; Kaplan, Lee; Jose, Jean
- Abstract
<bold>Background: </bold>The purpose of this study was to determine the efficacy of ultrasound-guided aspiration, fenestration, and injection as a treatment in patients with symptomatic popliteal cysts.<bold>Hypothesis: </bold>Ultrasound-guided aspiration, fenestration, and injection (UGAFI) is an effective and safe treatment option for symptomatic popliteal cysts.<bold>Study Design: </bold>Retrospective cohort study.<bold>Level Of Evidence: </bold>Level 3.<bold>Methods: </bold>Patients who received a UGAFI of popliteal cysts from 2008 to 2011 were identified. Preaspiration (PA) and follow-up Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, cyst recurrence, complications, cyst complexity, and size were obtained and compared for statistical significance. UGAFI involved aspiration of fluid through a spinal needle, fenestration of the cyst walls and septations, and injection of 1 mL (40 mg) triamcinolone (Kenalog) and 2 mL 0.5% bupivacaine (Sensorcaine) into the decompressed remnant.<bold>Results: </bold>The mean PA WOMAC score (48.55) improved significantly at final follow-up (FFU) to 17.15 (P < 0.0001) for 47 patients. Within the WOMAC subcategories, there was also a significant difference in pain (PA, 10.68; FFU, 3.94; P < 0.0001), stiffness (PA, 4.51; FFU, 1.77; P < 0.0001), and physical function (PA, 31.34; FFU, 12.17; P < 0.0001). There were 6 reaspirations for recurrence (12.7%), and 1 patient underwent unicompartmental knee arthroplasty. There were no infections or other complications.<bold>Conclusion: </bold>Significant clinical improvement in patients with symptomatic popliteal cysts can be achieved via UGAFI as the sole treatment.<bold>Clinical Relevance: </bold>UGAFI is a safe and effective option as the sole treatment modality for symptomatic popliteal cysts.
- Subjects
POPLITEAL fossa; OSTEOARTHRITIS; ARTHRITIS; RHEUMATISM; POPLITEAL cyst; CYSTS (Pathology); SURGERY; GLUCOCORTICOIDS; INJECTIONS; KNEE diseases; LOCAL anesthetics; LONGITUDINAL method; TRIAMCINOLONE; DISEASE relapse; TREATMENT effectiveness; RETROSPECTIVE studies; MEDICAL suction; JOINT pain; BUPIVACAINE; DISEASE complications; PREVENTION
- Publication
Sports Health: A Multidisciplinary Approach, 2015, Vol 7, Issue 5, p409
- ISSN
1941-7381
- Publication type
journal article
- DOI
10.1177/1941738115585520