Role Of Threading Technique As An Alternative To Surgical Excision Of Baker’s Cyst In Children

  • Varma HS Department of Orthopaedics, Traumatology and Rehabilitation, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
  • Pandey KK Department of Orthopaedics, Traumatology and Rehabilitation, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
Keywords: Baker’s cyst, synovial cyst, threading technique

Abstract

Background: Baker’s cyst is synovial swelling, found in the popliteal fossa seen typically in adults. In children, it is relatively rare, which at times may require surgical excision, which has its own morbidity. We evaluated the results of threading technique in children having Baker’s cyst.

Methods: 6 cases of age less than 15 years with baker’s cyst who failed to respond to conservative treatment were treated by our threading and aspiration technique. Ultrasound was used to confirm the diagnosis.

Results: 6 male children with mean age of 10 years with failed conservative treatment for mean of 5.5 months were included in study. Mean aspirate of cyst was 12.5 ml and mean time of thread removal was 7.1 day. Swelling of Baker’s cyst subsided in all cases in mean time to 6.4 weeks (range 6 to 8 weeks) completely without any recurrence at final follow of 1 year.

Conclusion: Threading technique is good alternative to surgical excision in treatment of baker’s cyst in children, with advantages of easy, cost effective, low morbidity, day care procedure without loss to school days

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References

1. Lindgren PG, Willen R. Gastrocnemio-semimembranosus bursa and its relation to the knee joint. I. Anatomy and histology. Acta Radiologica. 1977;18(5):497–512.

2. Baker WM. On the formation of the synovial cysts in the leg in connection with disease of the knee joint. London: St Bartholomew’s Hospital Report. 1877;13:245–261.

3. Seil R, Rupp S, Jochum P, Schofer O, Mischo B, Kohn D. Prevalence of popliteal cysts in children. A sonographic study and review of the literature. Arch Orthop Trauma Surg. 1999;119(1-2):73–75.

4. De Maeseneer M, Debaere C, Desprechins B, Osteaux M. Popliteal cysts in children: prevalence, appearance and associated findings at MR imaging. Pediatr Radiol. 1999;29(8):605–609.

5. De Greef I, Molenaers G, Fabry G. Popliteal cysts in children: a retrospective study of 62 cases. Acta Orthop Belg. 1998;64:180–183.

6. Chen JC, Lu CC, Lu YM, Chen CH, Fu YC, Hunag PJ. A modified surgical method for treating Baker's cyst in children. Knee. 2008;15(1):9–14.

7. Liao ST, Chiou CS, Chang CC. Pathology associated to the Baker's cysts: a musculoskeletal ultrasound study. Clin Rheumatol. 2010;29(9):1043–1047.

8. Meehan PL, Daftari T. Pigmented villonodular synovitis presenting as a popliteal cyst in a child. A case report. J Bone Joint Surg. 1994;76(4):593–595.

9. Van Rhijn LW, Jansen EJ, Pruijs HE. Long-term follow-up of conservatively treated popliteal cysts in children. J Pediatr Orthop B. 2000;9(1):62–64.

10. Torreggiani WC, Al-Ismail K, Munk PL, Roche C, Keogh C, Nicolaou S. The imaging spectrum of Baker’s (Popliteal) cysts. Clin Radiol. 2002;57(8):681–691

11. Draghi F, Danesino GM, Coscia D, Precerutti M, Pagani C. Overload syndromes of the knee in adolescents: sonographic findings. J Ultrasound. 2008;11(4):151–157.

12. Szer IS, Klein-Gitelman M, DeNardo BA et al. Ultrasonography in the study of prevalence and clinical evolution of popliteal cysts in children with knee effusions. J Rheumatol. 1992;19:458–462.

13. Pandey PK, Pawar I, Verma R. Baker’s cyst in a 2 year old child (youngest child ever): a rare case report. J Dent Med. 2015;14(8):59-61.

14. Alessi S, Depaoli R, Canepari M, Bartolucci F, Zacchino M, Draghi F. Baker’s cyst in pediatric patients: Ultrasonographic characteristics. J Ultrasound. 2012;15(1):76–81.

15. Damron TA, Sim FH. Soft-tissue tumors about the knee. J Am Acad Orthop Surg. 1997;5(3):141–152.

16. Chung CB, Isaza IL, Angulo M, Boucher R, Hughes T. MR arthrography of the knee: how, why, when. Radiol Clin North Am. 2005;43(4):733–746.

17. Handy JR. Popliteal cysts in adults: a review. Semin Arthritis Rheum. 2001;31(2):108–118.

18. Touloukian RJ. Popliteal cysts in childhood. Surg. 1971;69(4):629–632.

19. Kornaat PR, Bloem JL, Ceulemans RY, Riyazi N, Rosendaal FR, Nelissen RG. Osteoarthritis of the knee: association between clinical features and MR imaging findings. Radiol. 2006;239(3):811–817.
Published
2019-06-30
CITATION
DOI: 10.5281/zenodo.3969949
Published: 2019-06-30
How to Cite
1.
Varma HS, Pandey KK. Role Of Threading Technique As An Alternative To Surgical Excision Of Baker’s Cyst In Children. ojmpc [Internet]. 2019Jun.30 [cited 2021Jan.21];25(1):34-7. Available from: https://ojmpc.com/index.php/ojmpc/article/view/75
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Original Article