Comparison of the recurrence risk of parameniscal cysts between patients treated with arthroscopic excision and arthroscopic decompression techniques

Chang, Jung-Jui; Li, Yi-Hwei; Lin, Gen-Min; Wu, Chia-Chun; Shen, Hsain-Chung; Pan, Ru-Yu

doi:10.1007/s00167-016-3998-0

Cited by 10 publications

(27 citation statements)

References 31 publications

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“…Only a single study, by Chang et al, reported a specific change in pain visual analog scale (VAS) values from preoperatively to postoperatively. 40 This mean change in VAS was reported as −3.3 ± 0.7 for both patients undergoing arthroscopic decompression and those undergoing arthroscopic excision (p > 0.05).…”

Section: Resultsmentioning

confidence: 87%

“… 1 , 26 , 33 , 34 , 40–46 Similarly, 3 studies were used to calculate a recurrence rate of 5/147 (3.4%) for arthroscopic excision ( Table 4 ). 1 , 40 , 47 Only 2 studies provided insight on the rates of recurrence after arthroscopy assisted percutaneous decompression, which was calculated to be 0/37 (0%) ( Table 4 ). 14 , 15 …”

Section: Resultsmentioning

confidence: 99%

“… 1 , 40 , 47 Only 2 studies provided insight on the rates of recurrence after arthroscopy assisted percutaneous decompression, which was calculated to be 0/37 (0%) ( Table 4 ). 14 , 15 …”

Section: Resultsmentioning

confidence: 99%

“…The greatest weight for this review’s calculated mean weighted Lysholm scores was from a single study by Chang et al, which reported Lysholm scores of 72.4 and 74 for arthroscopic decompression and excision, respectively. 40 All other incorporated studies in this review had Lysholm scores of 85 or higher at the final follow-up. 15 , 33 , 34 , 47 Thus, it is possible that patients in the included study by Chang et al had functionally lower scores preoperatively than those described by Kumar et al who received partial meniscectomy without formal decompression or removal of the cyst.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

“… 1 , 40 , 47 Only 2 studies provided insight on the rates of recurrence after arthroscopy assisted percutaneous decompression, which was calculated to be 0/37 (0%) ( Table 4 ). 14 , 15 …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Arthroscopic Management of Meniscal Cysts: A Systematic Review

Haratian¹,

Bolia²,

Hasan³

et al. 2021

ORR

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“…Synovectomy has shown to give better results as compared to loose body removal alone in synovial chondromatosis [10]. In treating parameniscal cysts arthroscopic meniscectomy with simultaneous open cystectomy is preferred than simple arthroscopic decompression and shown to reduce incidence of recurrence [12]. It allows surgical clearance of the lesion from the base and histological evaluation of the tissue.…”

Section: Discussionmentioning

confidence: 99%

Synovial chondromatosis masquerading as a para-meniscal cyst of the knee

Adam¹,

Brice²,

Duraikannu³

et al. 2019

IJSCR

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Synovial chondromatosis and parameniscal cysts are well documented pathologies around the knee joint. We present an unusual presentation of synovial chondromatosis masquerading as a parameniscal cyst of the knee. The patient was an 82-year old gentleman seen in our knee clinic with painful swelling over medial aspect of the right knee, no history of injury and with symptoms of a locked knee. Clinico-radiological features were suggestive of a binary pathology of a meniscal tear and multi-locular cyst of the knee. An arthroscopic assisted open excision of the cystic lesion allowed clinical recovery with histological confirmation of benign synovial chondromatosis. We highlight the challenges in our case with the overlap of diagnostic features of both synovial and meniscal pathology with surgical management of this patient.

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