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Giant synovial cysts

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Abstract

Giant synovial cysts (GSC) are large, well-defined cavities, containing synovial fluid and lined by a synovium-like membrane, which extend for a variable distance outside the joint cavity. We are reporting 15 cases of GSC of various joints. Rheumatoid arthritis is the most common disease process reported in association with GSC. We suggest that trauma may be a more important cause of GSC than has previously been described. Arthrography and ultrasonography are both helpful in diagnosing these large cysts, especially in the knee to aid in differentiating GSC from thrombophlebitis.

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References

  1. Adams R (1840) Chronic rheumatoid arthritis of the knee joint. Dublin J Med Sci 17:520

    Google Scholar 

  2. Aegeter E, Kirkpatrick JA (1975) Orthopedic diseases, 4th edn. Saunders, Philadelphia, p 625

    Google Scholar 

  3. Bacon PA, Gerber NJ (1974) Popliteal cysts and synovial rupture in osteoarthrosis. Rheumatol Rehabil 13:98

    Google Scholar 

  4. Baker WM (1877) Formation of synovial cysts in the leg in connection with disease of the knee joint. St Bartholomew's Hosp Rep 13:345

    Google Scholar 

  5. Bamzai A, Kreiger M, Kretschmer RR (1978) Synovial cysts in juvenile rheumatoid arthritis. Ann Rheum Dis 37:101

    Google Scholar 

  6. Barbaric ZL, Young LW (1972) Synovial cysts in juvenile rheumatoid arthritis. AJR 116:655

    Google Scholar 

  7. Beatty DC (1959) Rheumatoid cysts of the calf. Proc R Soc Med 52:1106

    Google Scholar 

  8. Belch JJF, McMillan NC, Fogelman I, Capell H, Forbes CD (1981) Combined phlebography and arthrography in patients with painful swollen calf. Br Med J 282:949

    Google Scholar 

  9. Bienenstock H (1975) Rheumatoid plantar synovial cysts. Ann Rheum Dis 34:98

    Google Scholar 

  10. Bowerman JW, Muhletaler C (1973) Arthrography of rheumatoid synovial cysts of the knee and wrist. J Can Assoc Radiol 24:24

    Google Scholar 

  11. Burt TB, MacCarter DK, Gelman MI, Samuelson CO (1980) Clinical manifestations of synovial cysts. West J Med 133:99

    Google Scholar 

  12. Caughey DE, Bywaters EGL (1963) Joint fluid pressure in chronic knee effusions. Ann Rheum Dis 22:106

    Google Scholar 

  13. Chalmers IM (1976) Ruptured popliteal cyst — An unusual complication of osteoarthritis. S Afr Med J 50:1487

    Google Scholar 

  14. Childress HM (1970) Follow-up notes on articles previously published in the journal-popliteal cysts associated with undiagnosed posterior lesions of the medial meniscus. J Bone Joint Surg [Am] 52:1487

    Google Scholar 

  15. Childress HM (1954) Popliteal cysts associated with undiagnosed posterior lesions of the medial meniscus. J Bone Joint Surg [Am] 36:1233

    Google Scholar 

  16. Chilton CP, Darke SG (1980) External iliac venous compression by a giant iliopsoas rheumatoid bursa. Br J Surg 67:641

    Google Scholar 

  17. Costello PB, Kennedy AC, Green FA (1980) Shoulder joint rupture in juvenile rheumatoid arthritis producing bicipital masses and a hemorrhagic sign. J Rheumatol 7:563

    Google Scholar 

  18. Dalinka MK (1980) Arthrography. Springer, New York, p 7

    Google Scholar 

  19. Dell PC (1979) Compression of the ulnar nerve at the wrist secondary to a rheumatoid synovial cyst-case report and review of the literature. J Hand Surg 4:468

    Google Scholar 

  20. Dixon AS, Grant C (1964) Acute synovial rupture in rheumatoid arthritis — Clinical and experimental observations. Lancet 1:742–745

    Google Scholar 

  21. Doppman JL (1965) Baker's cyst and the normal gastrocnemio-semimembranosus bursa. AJR 94:646

    Google Scholar 

  22. Erlich GE (1972) Antecubital cysts in rheumatoid arthritis —a corollary to popliteal (Baker's) cysts. J Bone Joint Surg [Am] 54:165

    Google Scholar 

  23. Eyanson S, MacFarlane JD, Brandt KD (1979) Popliteal cyst mimicking thrombophlebitis as the first indication of knee disease. Clin Orthop 144:215

    Google Scholar 

  24. Fernandes L, Goodwill CJ, Srivatsa SR (1979) Synovial rupture of rheumatoid elbow causing radial nerve compression. Br Med J 2:27

    Google Scholar 

  25. Freiberger RH, Kay JJ (1979) Arthrography. Appleton-Century-Crofts, New York, p 5, 109

    Google Scholar 

  26. Genovese GR, Jayson MIV, Dixon AS (1972) Protective value, of synovial cysts in rheumatoid knees. Ann Rheum Dis 31:179

    Google Scholar 

  27. Gompels BM, Darlington LG (1982) Evaluation of popliteal cysts and painful calves with ultrasonography: Comparison with arthrography. Ann Rheum Dis 41:355

    Google Scholar 

  28. Good A (1964) Rheumatoid arthritis, Baker's cyst, and “thrombophlebitis”. Arthritis Rheum 7:56

    Google Scholar 

  29. Goode JD (1968) Synovial rupture of the elbow joint. Ann Rheum Dis 27:604

    Google Scholar 

  30. Gray's Anatomy (1973) 35th edn. Warwick and Williams, Saunders, Philadelphia, p 450

  31. Hall AP, Scott JT (1966) Synovial cysts and rupture of the knee joint in rheumatoid arthritis. Ann Rheum Dis 25:32

    Google Scholar 

  32. Halpern AA (1979) Massive synovial cyst of the shoulder causing vascular compromise. Clin Orthop 143:151

    Google Scholar 

  33. Harvey JP, Corcos J (1960) Large cysts in lower leg originating in the knee occurring in patients with rheumatoid arthritis. Arthritis Rheum 3:218

    Google Scholar 

  34. Hatlinghus S, Gjolberg T (1981) Ruptured Baker's cyst-a radiological diagnosis. Eur J Radiol 1:85

    Google Scholar 

  35. Hermann G, Yeh HC, Lehr-Janus C, Berson BL (1981) Diagnosis of popliteal cyst: Double contrast, arthrography and sonography. AJR 137:369

    Google Scholar 

  36. Hooper JC, Brookler M (1971) Popliteal cysts and their rupture in the rheumatoid arthritic simulating thrombophlebitis Med J Aust 58:1371

    Google Scholar 

  37. Jayson MIV (1968) Study of a valvular mechanism in the formation of synovial cysts. Ann Phys Med 9:243

    Google Scholar 

  38. Jayson MIV, Dixon AS, Kates A, Pinder I, Coomes EN (1972) Popliteal and calf cysts in rheumatoid arthritis. Ann Rheum Dis 31:9

    Google Scholar 

  39. Kilcoyne RF, Imray TJ, Stewart ET (1978) Ruptured Baker's cyst simulating acute, thrombophlebitis. JAMA 240:1517

    Google Scholar 

  40. Kogstead O (1965) Baker's cyst. Acta Rheum Scand 11:194

    Google Scholar 

  41. Lapayowker MS, Cliff MM, Tourtellotte CD (1970) Arthrography in the diagnosis of calf pain. Radiology 95:319

    Google Scholar 

  42. Lawson TL, Millter S (1978) Ultrasonic evaluation of extremity soft-tissue lesions with arthrographic correlation. J Can Assoc Radiol 29:58

    Google Scholar 

  43. Leffert RD, Dorman HD (1972) Antecubital cyst in rheumatoid arthritis-surgical findings. J Bone Joint Surg [Am] 54:1555

    Google Scholar 

  44. Lindgren PG, Willen R (1977) Gastrocnemio-semimembranosus bursa and its relation to the knee joint. Acta Radiol [Diagn] (Stockh) 18:497

    Google Scholar 

  45. Levitin PM (1972) Dissecting popliteal cyst: An unusual complication of Reiter's syndrome. South Med J 69:1522

    Google Scholar 

  46. Levitin PM, Keats TE (1975) Dissecting synovial cyst of the popliteal space in gout. AJR 124:32

    Google Scholar 

  47. Levy RN, Hermann G, Haimov M, Sherry HS, Train JS, Davison S (1982) Rheumatoid synovial cysts of the hip. Arthritis Rheum 25:1382

    Google Scholar 

  48. Malloch JD (1970) Popliteal cysts in children. Br J Surg 57:616

    Google Scholar 

  49. Maudsley RH, Arden GP (1961) Rheumatoid cysts of the calf and their relation to Baker's cysts of the knee. J Bone Joint Surg [Br] 43:87

    Google Scholar 

  50. McDonald DG, Leopold GR (1972) Ultrasound B-scanning in the differentiation of Baker's cyst and thrombophlebitis. Br J Radiol 45:729

    Google Scholar 

  51. Meire HB, Lindsay DJ, Swinson DR, Hamilton EBD (1974) Comparison of ultrasound and positive contrast, arthrography in the diagnosis of popliteal and calf swellings. Ann Rheum Dis 33:221

    Google Scholar 

  52. Meurman KOA, Luppi A, Turunen MJ (1978) A giant retrofemoral Baker's cyst. Br J Radiol 51:919

    Google Scholar 

  53. Moore CP, Sarti DA, Lowie JS (1975) Ultrasonographic demonstration of popliteal cysts in rheumatoid arthritis-a non-invasive technique. Arthritis Rheum 18:577

    Google Scholar 

  54. Nance EP, Jones TB, Kaye JJ (1982) Dissecting synovial cysts of the shoulder: A complication of chronic rotator cuff tears. AJR 138:739

    Google Scholar 

  55. Palmer DG (1969) Synovial cysts in rheumatoid disease. Ann Intern Med 70:61

    Google Scholar 

  56. Pavelka K, Susta A, Streda A (1972) Giant cyst of the calf in a patient with rheumatoid arthritis. Scand J Rheum 1:145

    Google Scholar 

  57. Perri JA, Rodnan GP, Mankin HJ (1968) Giant synovial cysts of the calf in patients with rheumatoid arthritis. J Bone Joint Surg [Am] 50:709

    Google Scholar 

  58. Pirani M, Lange-Mechlen I, Cockshott WP (1982) Rupture of a posterior synovial cyst of the elbow. J Rheumatol 9:94

    Google Scholar 

  59. Rauschning W, Lindgren PG (1979) Popliteal cysts (Baker's cysts) in adults I. Acta Orthop Scand 50:583

    Google Scholar 

  60. Rennebohm RM, Towben RB, Crowe WE, Levinson JE (1983) Popliteal cysts in juvenile rheumatoid arthritis. AJR 140:123

    Google Scholar 

  61. Resnick D, Niwayama G (1981) Diagnosis of bone and joint disorders. Saunders, Philadelphia, p 882

    Google Scholar 

  62. Ritsema GH (1981) Communicating semimembranoso-gastrocnemial bursa. Diagn Imaging 50:178

    Google Scholar 

  63. Rosewarne MD (1978) Synovial rupture of the knee joint: Confusion with deep vein thrombosis. Clin Radiol 129: 417

    Google Scholar 

  64. Schmidt MC, Workman JB, Barth WF (1974) Dissection or rupture of a popliteal cyst. Arch Intern Med 134:694

    Google Scholar 

  65. Scott EG, Davis JS (1969) Giant synovial dissecting cyst: An uncommon feature of rheumatoid arthritis. Virginia Medical Monthly 96:449

    Google Scholar 

  66. Seidl G, Scherak O, Hofner W (1979) Antefemoral dissecting cysts in rheumatoid arthritis. Radiology 133:343

    Google Scholar 

  67. Shapiro RF, Resnick D, Castles JJ, D'Ambrosia RD, Lipscombe PR, Niwayama G (1975) Fistualization of rheumatoid joints. Ann Rheum Dis 34:489

    Google Scholar 

  68. Staple TW (1972) Extrameniscal lesions demonstrated by double-contrast, arthrography of the knee. Radiology 102:311

    Google Scholar 

  69. Swett HA, Jaffe RB, Mcliff EB (1975) Popliteal cysts: presentation as thrombophlebitis. Radiology 115:613

    Google Scholar 

  70. Taylor AR (1969) Arthrography of the knee in rheumatoid arthritis. Br J Radiol 42:493

    Google Scholar 

  71. Trentham DE, Masi AT (1976) Chronic synovitis in gout simulating rheumatoid arthritis-demonstration of bilateral popliteal cysts and wrist synovial corrugations. JAMA 235:1358

    Google Scholar 

  72. Turek SL (1977) Orthopedics. Principles and their application. 3rd edn. Lippincott, Philadelphia, p 1137

    Google Scholar 

  73. Warren R, Kaye JJ, Salvati EA (1975) Arthrographic demonstration of an enlarged iliopsoas bursa complicating osteoarthritis of the hip. J Bone Joint Surg [Am] 57:413

    Google Scholar 

  74. Watson JD, Ochsner SF (1967) Compression of bladder due to “rheumatoid” cysts of hip joint. AJR 99:695

    Google Scholar 

  75. Weese WC, McCarty, DJ (1969) Spontaneous rupture of the knee joint in Reiter's syndrome. JAMA 208:825

    Google Scholar 

  76. Weiner SR, Szydlo L, Fan P (1982) Synovial cyst presenting as forearm mass. Postgrad Med 72:258

    Google Scholar 

  77. Wilson PD, Eyre-Brook AL, Francis JD (1938) A clinical and anatomical study of the semimembranosus bursa in relation to popliteal cyst. J Bone Joint Surg [Am] 20:963

    Google Scholar 

  78. Wolfe RD, Colloff B (1972) Popliteal cysts: An arthrographic study and review of the literature. J Bone Joint Surg [Am] 54:1057

    Google Scholar 

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Fedullo, L.M., Bonakdarpour, A., Moyer, R.A. et al. Giant synovial cysts. Skeletal Radiol 12, 90–96 (1984). https://doi.org/10.1007/BF00360812

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