Features of pathological changes of fibro-cartilaginous tissue knee in patients with Baker cyst

Чернядьев, С. А.; Чернооков, А. И.; Гребенев, Е. А.; Sivkova, Nadezhda I.; Жиляков, А. В.; Бабушкин, Д. А.; Коробова, Н. Ю.; Виноградов, О. А.

doi:10.20862/0042-4676-2016-97-5-274-282

Cited by 2 publications

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“…2,14 With the more widespread use of arthroscopy, the most commonly used treatments for parameniscal cysts have been arthroscopic excision and decompression. [16][17][18] It is well-known that parameniscal cysts can be removed without meniscectomy, while for large or multiloculated meniscal cysts, arthroscopic decompression or excision may leave the meniscus unstable. According to several studies, 5,19,20 the incidence of parameniscal cyst recurrence in patients undergoing arthroscopic excision or arthroscopic decompression is estimated to be 9.4% to 15% and it has been widely recognized that factors such as cyst dimension, failure to disrupt the check-valve mechanism, and multilobulated structure contribute to the recurrence rate of the cyst.…”

Section: Introductionmentioning

confidence: 99%

“…With the more widespread use of arthroscopy, the most commonly used treatments for parameniscal cysts have been arthroscopic excision and decompression 16‐18 . It is well‐known that parameniscal cysts can be removed without meniscectomy, while for large or multiloculated meniscal cysts, arthroscopic decompression or excision may leave the meniscus unstable.…”

Section: Introductionmentioning

confidence: 99%

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Parameniscal Cyst Arthroscopic Excision by the Modified Fat Pad Approach Can Shorten Recovery Time—A New Surgical Method with Retrospective Study

Li,

Shu

et al. 2023

Orthopaedic Surgery

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ObjectivesParameniscal cysts can be removed without meniscectomy, but for large or multiloculated meniscal cysts, traditional arthroscopic excision may leave the meniscus unstable. This study aimed to describe a modified fat pad approach for parameniscal cyst arthroscopic excision that retains a stable structure of the synovial margin of the meniscus and to compare the clinical outcomes between the traditional cyst excision and modified excision techniques.MethodsFifty‐six patients with parameniscal cysts between 2014 and 2018 were retrospectively included in this study with 28 patients in each group. All patients underwent arthroscopic parameniscal cyst excisions with traditional and modified excision techniques respectively in each group. The International Knee Documentation Committee subjective (IKDC) score, Lysholm score, visual analogue scale (VAS) score, Tegner score, active range of motion (ROM) and time to recover full ROM were used to evaluate the clinical outcomes by using the t‐test.ResultsThe patient population included 21 males and 35 females, with a mean follow‐up of 29 months. Of these, 28 patients underwent traditional arthroscopic cyst excisions and meniscal sutures, and 28 patients underwent arthroscopic excisions by the modified fat pad approach. There were no significant differences in the IKDC score, Lysholm score, Tegner score or VAS score between the traditional and modified excision groups at the final follow‐up time point. However, the postoperative time to recover full ROM in the modified excision group was significantly lower than those in the traditional excision group (p < 0.05).ConclusionArthroscopic excision with the modified fat pad approach yielded a shorter pain phase and less time to recover full ROM during recovery compared with the traditional arthroscopic excision. The new method seemed to be effective, as evidenced by the positive clinical outcomes of patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Parameniscal Cyst Arthroscopic Excision by the Modified Fat Pad Approach Can Shorten Recovery Time—A New Surgical Method with Retrospective Study

Li,

Shu

et al. 2023

Orthopaedic Surgery

View full text Add to dashboard Cite

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Age-Related, Ultrasound and Histomorphological Features of Baker's Cyst

Medvedeva¹,

D'yachkova²,

D'yachkov³

et al. 2018

Žurnal anatomii i gistopatologii

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ФГБУ «Российский научный центр «Восстановительная травматология и ортопедия» им. акад. Г. А. Илизарова» Минздрава России, Курган, РоссияЦель исследования -выявить особенности морфологического строения и ультразвуковых призна-ков кисты Бейкера у пациентов разного возраста.Материал и методы. Работа основана на данных сонографического исследования 213 пациентов (средний возраст 57.2±9.9 года) и 10 детей в возрасте от 6 до 10 лет с выявленной кистой Бейкера. Были изучены размеры кисты, ее положение, взаимоотношение с окружающими тканями было исследовано на сонографическом оборудовании. Дополнительно измерены параметры, включающие толщину синови-альной оболочки, наличие перегородок и эховключений, степень эхогенности содержимого кисты. Всем пациентам была произведена открытая экстирпация кисты с последующим ее морфологическим анали-зом. Все манипуляции проводились после подписания информированного согласия пациента или его за-конных представителей согласно рекомендациям «Про правовые, законодательные и этические нормы и требования при выполнении научных морфологических исследований». Подготовку гистологического материала, полученного после удаления кисты Бейкера, проводили по стандартным методикам с после-дующим окрашиванием гемотоксилином и эозином и по Ван Гизону. Полученные препараты исследовали под световым микроскопом с возможностью вывода изображения на монитор компьютера Результаты. У всех взрослых с выявленной кистой Бейкера был обнаружен гонартроз различной степени тяжести, в отличие от детей, у которых данной суставной патологии не обнаружено. Морфологи-ческие различия трансформации тканей образования в разных возрастных группах также были значи-тельны. Разница отмечалась в виде невыраженной дистрофии синовиальной оболочки и отсутствии нек-ротических и дегенеративных изменений в стенке кисты у детей.Выводы. Данная работа продемонстрировала целый ряд существенных ультразвуковых и морфоло-гических различий подколенной кисты у пациентов детского возраста и взрослых. Age-Related, Ultrasound and Histomorphological Features of Baker's CystThe aim of the study was to reveal the features of the morphological structure and ultrasonic signs of Baker's cyst in patients of different ages.Material and methods. The study is based on a sonographic study of 213 patients (mean age 57.2±9.9 years) and 10 children aged 6 to 10 years with a detected Baker cyst. The size of the cyst was studied, its position, relationship with surrounding tissues was examined on sonographic equipment. In addition, parameters were measured, including the thickness of the synovium, the presence of septa and echo-inclusions, the degree of echogenicity of the contents of the cyst. All patients underwent open extirpation of the cyst followed by its morphological analysis. All manipulations were carried out after signing the informed consent of the patient or his legal representatives according to the recommendations "About legal, legislative and ethical norms and requirements in the performance of scientific morphological studies". Preparation of t...

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Features of pathological changes of fibro-cartilaginous tissue knee in patients with Baker cyst

Cited by 2 publications

References 0 publications

Parameniscal Cyst Arthroscopic Excision by the Modified Fat Pad Approach Can Shorten Recovery Time—A New Surgical Method with Retrospective Study

Parameniscal Cyst Arthroscopic Excision by the Modified Fat Pad Approach Can Shorten Recovery Time—A New Surgical Method with Retrospective Study

Age-Related, Ultrasound and Histomorphological Features of Baker's Cyst

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