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Arthrosc Tech. 2013 Aug 16;2(3):e295-8. doi: 10.1016/j.eats.2013.04.001. eCollection 2013.

Popliteal cyst excision using open posterior approach after arthroscopic partial medial meniscectomy.

Arthroscopy techniques

Nimrod Snir, Mathew Hamula, Theodore Wolfson, Orrin Sherman, Andrew Feldman

Affiliations

  1. Department of Orthopaedic Surgery, New York University Hospital for Joint Diseases, New York, New York, U.S.A.

PMID: 24266002 PMCID: PMC3834643 DOI: 10.1016/j.eats.2013.04.001

Abstract

Popliteal cysts are known to be associated with intra-articular pathology, which must be addressed to prevent cyst recurrence. Indications for popliteal cyst excision include cases in which the popliteal cyst does not respond to conservative treatment or arthroscopic intervention or cases in which an underlying cause cannot be found. Several techniques have been described to excise these cysts. Traditionally, open techniques have been associated with cyst recurrence. More recently, arthroscopic cystectomy has been described. However, the risk of recurrence persists because arthroscopy may not afford complete surgical excision. This technical note presents an open posterior technique for popliteal cyst excision that allows for better visualization and complete removal of the cyst while minimizing the risk of neurovascular complications and soft-tissue damage. It is a safe, effective, and straightforward method to achieve symptomatic relief for refractory popliteal cysts.

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