alexa Large Popliteal Cyst in Patient with Complaint of Posteromedial Knee Pain | OMICS International
ISSN: 2329-9096
International Journal of Physical Medicine & Rehabilitation
Like us on:
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Large Popliteal Cyst in Patient with Complaint of Posteromedial Knee Pain

Lara Canham and Paul E Mintken*

Physical Therapy Program, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO., USA

*Corresponding Author:
Paul E Mintken
Physical Therapy Program
School of Medicine
University of Colorado Anschutz Medical Campus, Aurora, CO, USA
Tel: +1 720-848-0000
E-mail: [email protected]

Received Date: September 24, 2016; Accepted Date: September 26, 2016; Published Date: September 30, 2016

Citation: Canham L, Mintken PE (2016) Large Popliteal Cyst in Patient with Complaint of Posteromedial Knee Pain Int J Phys Med Rehabil 4:I102. doi:10.4172/2329-9096.1000I102

Copyright: © 2016 Canham L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at International Journal of Physical Medicine & Rehabilitation

Clinical Image

The patient was a 44-year-old emergency room physician who presented to a direct access physical therapy clinic with right posteromedial knee pain. The patient had completed rehabilitation following a right partial medial meniscectomy 1 year prior at the same clinic, but continued to have progressively worsening posteromedial knee pain. The patient was considering further arthroscopic surgery to evaluate the medial meniscus following a consult from the orthopaedic surgeon, but sought out direct access physical therapy for a second opinion, as he felt the symptoms were consistent with tendinitis.

Upon evaluation the patient presented with signs and symptoms consistent with medial meniscal pathology, including medial joint line tenderness and a mild effusion. In addition, there were impairments of hip strength, increased pain with toe and heel walking, increased pain during terminal stance phase of gait, and palpable thickening of the posteromedial knee capsule. The possibility of a popliteal cyst was discussed. He underwent 6 physical therapy sessions with little change in symptoms. Being a physician, the patient ordered a magnetic resonance image (MRI) of his right knee, which revealed gross enlargement of a popliteal cyst adjacent to the medial gastrocnemius (Figures 1 and 2). Benign cystic and “cyst-like” lesions in and around the knee joint are common, in which case an MRI is useful to differentiate and diagnose these lesions [1]. Physical examination will miss one half of these cysts, and in older patients there is usually a coexisting problem [2]. Based on the findings, the patient underwent successful removal of the cyst.

physical-medicine-rehabilitation-Sagittal-proton

Figure 1: Sagittal proton density, fat saturated magnetic resonance image of the right knee demonstrating a 3.0 mm and 4.0 mm popliteal cystic process probably leaking fluid in the calf adjacent to the medial gastrocnemius and along the pes ansurine tendon regions.

physical-medicine-rehabilitation-Axial-density

Figure 2: Axial proton density, fat saturated magnetic resonance image of the right knee demonstrating a 3.0 mm and 4.0 mm multiloculated popliteal cyst has developed and is probably leaking fluid superficial to the medial gastrocnemius in the calf.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Article Usage

  • Total views: 8288
  • [From(publication date):
    October-2016 - Dec 12, 2017]
  • Breakdown by view type
  • HTML page views : 8215
  • PDF downloads : 73
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version