Arthroscopic treatment of 105 lateral meniscal cysts with 5-year average follow-up

Hulet, Christophe; SOUQUET, D; ALEXANDRE, P; Locker, B.; BEGUIN, J; VIELPEAU, C

doi:10.1016/s0749-8063(04)00599-7

Cited by 45 publications

(25 citation statements)

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“…We could not find a case in the literature of concomitant bucket-handle tear and meniscal cyst. Meniscal cysts accompany meniscal tears and the most common tear pattern is the horizontal cleavage tear8 which is in accordance with our case. Moreover, the displaced meniscal fragment is usually located into the notch and not onto the medial portion of the lateral compartment 6 9.…”

Section: Discussionsupporting

confidence: 92%

Symptomatic ring-shaped lateral meniscus. MRI findings.

Koukoulias

Papastergiou²

2011

Case Reports

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Section: Discussionsupporting

confidence: 92%

Symptomatic ring-shaped lateral meniscus. MRI findings.

Koukoulias

Papastergiou²

2011

Case Reports

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“…It is generally accepted that parameniscal cysts in the knee are associated with meniscal tears [8][9][10][11][12] and paralabral cysts in the shoulder with labral tears [13]. Both require therapy, not only of the cysts, but also of the associated meniscal or labral abnormality in order to prevent recurrence of cyst formation [14].…”

Section: Discussionmentioning

confidence: 99%

Paralabral cysts in the hip joint: findings at MR arthrography

et al. 2012

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Purpose The purpose of this research was to retrospectively characterize paralabral cysts of the hip as seen at MR arthrography. Materials and methods After Institutional Review Board approval, 704 patients who had MR arthrography were identified over a 3-year period and 40 patients were identified as having a cyst or fluid collection at the hip by MR report. MR images from these 40 patients were retrospectively reviewed by three radiologists where 18 were found to have a paralabral cyst, which were characterized as follows: location, configuration, contrast filling, size of the cyst, extent, direction, and whether associated osseous changes were present. In addition, the acetabular labrum was assessed for tears and, if present, the location and pattern were characterized. Results Paralabral cysts were located anterosuperiorly in 56%, anteriorly in 22%, posterosuperiorly in 17%, and anteroinferiorly in 6% of cases. The vast majority (94%) were multilocular and filled with intra-articular contrast medium. The average dimensions were 8×7×11 mm. The paralabral cyst demonstrated extracapsular extension in 72% of cases, with 39% located between the ilium and gluteus minimus, and 22% between the ilium and iliopsoas. Remodeling of the ilium adjacent to the cyst was observed in 50% of these cases. A labral tear was at the base of the labrum adjacent to the cyst in 78% of cases, while the tear was isolated to the body of the labrum in 22%. Tears were most commonly anterosuperior (55%) or anterior (28%) in location. Conclusion Our results show that paralabral cysts of the hip are most commonly located anterosuperiorly, are multilocular, fill with intra-articular contrast medium, have average dimensions up to 11 mm, and often extend extracapsularly between muscle and bone where they may remodel the adjacent ilium.

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“…11,12,39 Eleven studies reported data on the rate of cyst recurrence after pure arthroscopic decompression, which was calculated to be 37/445 (8.3%) (Table 4). 1,26,33,34,[40][41][42][43][44][45][46] Similarly, 3 studies were used to calculate a recurrence rate of 5/147 (3.4%) for arthroscopic excision (Table 4). 1,40,47 studies provided insight on the rates of recurrence after arthroscopy assisted percutaneous decompression, which was calculated to be 0/37 (0%) (Table 4).…”

Section: Rates Of Cyst Recurrencementioning

confidence: 99%

Arthroscopic Management of Meniscal Cysts: A Systematic Review

Haratian¹,

Bolia²,

Hasan³

et al. 2021

ORR

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Purpose The purpose of this study was to systematically review the outcomes of arthroscopic management of meniscal cysts and to compare the results across the reported surgical techniques. Methods Following the PRISMA methodology, 3 databases (PubMed, Scopus and Web of Science) were searched from inception to June 2021 for randomized controlled trials (RCTs) and observational studies reporting outcomes on patients with meniscal cysts who underwent arthroscopic surgery. The Mixed Methods Appraisal Tool (MMAT) was used to evaluate the study quality. Results Eighteen studies examining 753 patients (761 meniscal cysts; 92.5% in the lateral meniscus) were included. Overall, 486/736 (66.0%) patients underwent purely arthroscopic decompression, 174/736 (23.6%) received arthroscopic excision, 58/736 (7.9%) received arthroscopy assisted percutaneous drainage, and 18/736 (2.4%) received a combined procedure. The recurrence rate for meniscal cysts was 7.1% across all arthroscopic procedures; 8.3%, 3.4%, and 0% for arthroscopic decompression, arthroscopic excision, and arthroscopy assisted percutaneous drainage, respectively. A total of 79.3% of patients returned to the same level of sport and 85.7% had resolution or minimal knee symptoms after arthroscopic surgery for meniscal cysts. Patient perception of surgical outcomes after any type of arthroscopic surgery for meniscal cysts was reported by 5 studies, with 189/203 (93.1%) reporting satisfaction with their surgical procedure. Conclusion Based on current evidence, arthroscopic management of meniscal cysts yields satisfactory patient outcomes, low cyst recurrence rates and high return to sport rates regardless of the surgical technique. Rates of cyst recurrence were relatively higher with arthroscopic decompression versus excision and percutaneous drainage; however, prospective studies using modern surgical techniques are necessary to better evaluate the surgical outcomes and to compare those with nonoperative modalities, given that a significant proportion of the included articles in this review were relatively outdated. Level of Evidence Systematic review of level II and IV studies.

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Arthroscopic treatment of 105 lateral meniscal cysts with 5-year average follow-up

Abstract: Level IV.

Cited by 45 publications

References 0 publications

Symptomatic ring-shaped lateral meniscus. MRI findings.

Symptomatic ring-shaped lateral meniscus. MRI findings.

Paralabral cysts in the hip joint: findings at MR arthrography

Arthroscopic Management of Meniscal Cysts: A Systematic Review

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