Analysis of Associsted Intra-articular Lesions in Popliteal Cyst under Arthroscope in Adults.
- Author:
In Jung CHAE
1
;
Seung Beom HAN
;
Ki Hong LEE
;
Tae Ha KIM
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Knee;
Popliteal cyst;
Intra-articular pathology;
Arthroscopic excision
- MeSH:
Adult*;
Arthroscopes*;
Follow-Up Studies;
Humans;
Joints;
Knee;
Outpatients;
Popliteal Cyst*;
Postoperative Complications;
Recurrence;
Supine Position
- From:Journal of the Korean Knee Society
2000;12(1):112-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The authors tried to analyze the distribution of associated intra-articular lesions using the arthroscope in excision of popliteal cyst observed in adults. MATERIALS AND METHODS: The authors examined intra-articular lesions identified by arthroscopic examination on 113 adult patients(117 cases) who were diagnosed as having popliteal cyst that didn't respond to the conservative treatment. And for the operation, intra-articular examination using arthroscope was performed in supine position and the authors performed one-stage excision of cyst without position change of patients. RESULTS: In 104 cases(88.9%) of total 117 cases, combined intra-articular lesions were identified, Among these, most cases were 72 cases(69.2%) of degenerative chondral lesion and 31 cases(29.8%) of meniscus tear. Communication between cyst and joint was observed in 63 cases(53.8%). There was neither postoperative complication nor recurrence of cyst during out-patient follow-up periods. CONCLUSIONs: In cases of adult patient who have popliteal cyst that doesn't respond to the conservative treatment, possible associated intra-articular lesions should be considered., and arthroscopic examination and proper treatment far those associated lesions are thought to lower the recurrence rate.
