Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 17, Issue 3, pp 266–269

A pyogenic, ruptured Baker’s cyst induced by arthroscopic pressure pump irrigation

  • Kristoff Corten
  • Hilde Vandenneucker
  • Peter Reynders
  • Stefaan Nijs
  • Theo Pittevils
  • Johan Bellemans
Knee

Abstract

Post-steroid septic arthritis can be treated with irrigation pump assisted arthroscopic synovectomy. The high-intra-articular fluid pressures can force the pyogenic fluid into a pre-existing Baker’s cyst. The cyst can rupture and with the pre-existing steroid induced immune-suppression, the calf abscess will be hard to control. Therefore, thorough investigation with an ultrasound-guided aspiration followed by an early drainage of the collection is warranted and mandatory. Close monitoring for the development of a deep thrombosis of the popliteal vein is required.

Keywords

Pyogenic baker's cyst Steroid injection 

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Kristoff Corten
    • 1
    • 3
  • Hilde Vandenneucker
    • 1
  • Peter Reynders
    • 1
  • Stefaan Nijs
    • 1
  • Theo Pittevils
    • 2
  • Johan Bellemans
    • 1
  1. 1.Division of Knee Surgery and Sports Traumatology, Department of Orthopaedic Surgery and TraumatologyUniversity Hospital LeuvenLeuvenBelgium
  2. 2.Department of Orthopaedic SurgeryZiekenhuis Oost-LimburgGenkBelgium
  3. 3.Division of Knee Surgery and Sports Traumatology, Department of Orthopaedic Surgery and TraumatologyUniversity Hospital PellenbergPellenbergBelgium

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