Uncommon synovial cysts in children

Roth, Johannes; Scheer, Ianina; Kraft, Stephan; Keitzer, R.; Riebel, T.

doi:10.1007/s00431-005-0028-5

Cited by 30 publications

(23 citation statements)

References 11 publications

(9 reference statements)

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“…The idiopathic form affects children between 2 and 14 years old, twice as common as in males. Usually it is asymptomatic, but may cause discomfort and movement limitation [5,8,9]. In this study a painless popliteal mass or swelling was the most common presenting complaint.…”

Section: Introductionmentioning

confidence: 60%

“…Pediatric Baker's cyst is often idiopathic, less frequently related to juvenile arthritis or other diseases such as hemophilia [5,9].…”

Section: Discussionmentioning

confidence: 99%

“…Several conditions are associated with Baker's cysts, such as intra-articular lesions (meniscal tears, anterior cruciate ligament tears), arthritides (rheumatoid arthritis, osteoarthritis, juvenile idiopathic arthritis, psoriasis) [4], systemic lupus erythematosus, infection, hemophilia, pigmented villonodular synovitis [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Baker’s cyst in pediatric patients: Ultrasonographic characteristics

Alessi

Depaoli

Canepari

et al. 2012

Journal of Ultrasound

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Objective: Evaluate incidence, etiology, and sonographic features of Baker's cyst in children. Materials and methods: We examined 16 pediatric patients, with the clinical diagnosis of Baker's cyst. The possibility to confirm or to exclude the presence of the lesion, assess the structure, presence of bilateralism and joint effusion were considered. Three subjects had known juvenile arthritis, 2 hemophilia, 11 a popliteal swelling in the absence of concomitant diseases. Results: In all patients it was possible to confirm (11) or to exclude (5) the presence of Baker's cyst. The idiopathic forms (6) exhibited anechoic structure; in patients with arthritis (3) there was hypertrophic synovium; in hemophilic patients at the presentation (2) anechoic structure with layering (serum and red blood cells); in chronic hemophilia synovial hypertrophy was seen. Joint effusion was constantly present in children with hemophilia and arthritis and in 1 case of idiopathic cyst. Conclusion: Baker's cysts in children are rare. Ultrasound is able to confirm or to exclude the presence of the lesion and it is able to evaluate characteristics, bilateralism and association with joint effusion.Sommario Obiettivi: Scopo del lavoro è valutare incidenza, eziologia e caratteristiche ecografiche delle cisti di Baker nei bambini. Materiali e metodi: Sono stati esaminati 16 pazienti di età pediatrica, con diagnosi clinica di cisti di Baker. È stata valutata la possibilità di confermare o di escludere la presenza di tale formazione, di documentarne la struttura, la presenza di bilateralità e di versamento articolare. Tra i pazienti esaminati 3 soggetti presentavano artrite reumatoide giovanile, 2 erano affetti da emofilia, 11 si presentavano con una tumefazione nel cavo popliteo, in assenza di patologie concomitanti. Risultati: In tutti i giovani pazienti è stato possibile confermare (11) o escludere (5) la presenza di cisti di Baker. Le forme idiopatiche (6) presentavano struttura oncogena, nei pazienti con artrite (3) mostravano ipertrofia della sinovia, in quelli emofilici (2), in fase iniziale, si osservava struttura anecogena con stratificazione (siero e globuli rossi), nelle forme croniche era presente ipertrofia sinoviale. Nei bambini con emofilia, artrite e in 1 caso di cisti idiopatica era presente versamento articolare. Conclusioni: Le cisti di Baker nei bambini sono rare. L'ecografia permette di confermare o di escludere la presenza di tali formazioni e di valutarne le caratteristiche, la bilateralità e la concomitante presenza di versamento articolare. ª

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Section: Introductionmentioning

confidence: 60%

“…Pediatric Baker's cyst is often idiopathic, less frequently related to juvenile arthritis or other diseases such as hemophilia [5,9].…”

Section: Discussionmentioning

confidence: 99%

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Baker’s cyst in pediatric patients: Ultrasonographic characteristics

Alessi

Depaoli

Canepari

et al. 2012

Journal of Ultrasound

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“…The synovial cysts are most commonly encountered the knee (Baker's cysts) and the hip. They are of clinical significance because they may appear to be a periarticular mass causing pains or a limitation of the joint mobility [1,3,8]. The cysts of the shoulder are rare, occurring in the glenohumeral and acromioclavicular joints.…”

Section: Discussionmentioning

confidence: 99%

A left-sided asymptomatic supraclavicular cystic mass in a 14-year-old girl

et al. 2010

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A 14-year-old girl was referred to our department with a 3-month history of an asymptomatic swelling in the left cervical triangle. The girl, an active ski jumper, was used to carrying her skis on the left shoulder. There was a history of many minor falls and contusions of her body. The left posterior cervical triangle was enlarged by an elastic, partially fluctuating and clearly delineated swelling with 4-6 cm in diameter. The trapezius was elevated and the overlaying skin was intact. It was clear that the mass was spreading infraclavicularly. Nevertheless, the distal boundaries of the mass were not quite clear (Fig. 1). The infraclavicular spreading was confirmed with an ultrasound examination which revealed a hypoechogenic echo-free mass of the size of 7-10 x 3.6 cm. The mass was sonocompressible, clearly outlined and there were no signs of any infiltrating growth. No internal perfusion was found by colour-coded Doppler investigation. The blood count or biochemical tests did not reveal any pathological findings.

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“…Those three cases were located at the proximal ulna with no communication with the elbow joint, adherent to the median nerve and as an extension of the anterior recess anterolaterally affecting the posterior interosseous nerve. In the pediatric population, at the level of the shoulder joint, SCs leading to a distension of the biceps tendon sheath are also described [38]. Overall, in the adult population, two main peripheral locations should be recognized as characteristic of proper SC: between the tendons of the semimembranosus and the medial head of the gastrocnemius muscles for the Baker cyst and between the iliopsoas tendon and the hip joint capsule for SC of the hip for the so-called "iliopsoas bursitis" [29,37].…”

Section: Location Of a Cyst: An Important Diagnostic Toolmentioning

confidence: 98%

Ganglion cyst versus synovial cyst? Ultrasound characteristics through a review of the literature

Giard

Pineda

2014

Rheumatol Int

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Ultrasonographic characteristics of two common musculoskeletal lesions, ganglion cysts (GCs) and synovial cysts (SCs) are presented through a review of the literature. Although similar in many ways, these two lesions display different morphostructural characteristics justifying, in our view, their descriptions as separate entities. Mainly different from an anatomopathologic point of view, they also differ in their potential therapeutic implications. A symptomatic GC, refractory to conservative therapy, may require surgical excision of the cyst itself. For SC, therapy should primarily be oriented toward identifying and correcting the often coexisting intra-articular disease instead of only targeting merely its consequence, the SC.

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Uncommon synovial cysts in children

Cited by 30 publications

References 11 publications

Baker’s cyst in pediatric patients: Ultrasonographic characteristics

Baker’s cyst in pediatric patients: Ultrasonographic characteristics

A left-sided asymptomatic supraclavicular cystic mass in a 14-year-old girl

Ganglion cyst versus synovial cyst? Ultrasound characteristics through a review of the literature

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