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2015 ; 7
(5
): 409-14
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Treatment of Popliteal (Baker) Cysts With Ultrasound-Guided Aspiration,
Fenestration, and Injection: Long-term Follow-up
#MMPMID26502415
Smith MK
; Lesniak B
; Baraga MG
; Kaplan L
; Jose J
Sports Health
2015[Sep]; 7
(5
): 409-14
PMID26502415
show ga
BACKGROUND: 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. HYPOTHESIS: Ultrasound-guided
aspiration, fenestration, and injection (UGAFI) is an effective and safe
treatment option for symptomatic popliteal cysts. STUDY DESIGN: Retrospective
cohort study. LEVEL OF EVIDENCE: Level 3. METHODS: 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. RESULTS: 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. CONCLUSION: Significant clinical improvement in patients with
symptomatic popliteal cysts can be achieved via UGAFI as the sole treatment.
CLINICAL RELEVANCE: UGAFI is a safe and effective option as the sole treatment
modality for symptomatic popliteal cysts.