Abstract
The posterior knee is an area with readily apparent sonographic pathology. The popliteal cyst, commonly known as a Baker’s cyst, is an enlargement of the normal bursa present at the posteromedial aspect of the knee. Dynamic maneuvers may verify if the popliteal cyst communicates with the joint. A Baker’s cyst may develop due to various underlying conditions elucidated by ultrasound (US), enabling immediate treatment decisions. If necessary, ultrasound accurately guides needle aspiration or injection. Vascular abnormalities such as venous thrombosis and popliteal artery aneurysms or pseudoaneurysms may be recognized on US. Nerve damage caused by compression and intraneural ganglia of the common peroneal nerve may be appreciated with US. The posterior knee cartilage can be scanned for evidence of degenerative change and crystal diseases such as gout and pseudogout. The posterior aspects of the menisci may also be viewed sonographically. However, the menisci as well as the posterior cruciate ligament are better evaluated by magnetic resonance imaging.
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References
Frush TJ, Noyes FR. Baker’s cyst: diagnostic and surgical considerations. Sports Health. 2015;7(4):359–65.
Gupton M, Imonugo O, Terreberry RR. Anatomy, bony pelvis and lower limb, knee. StatPearls. Treasure Island, FL: StatPearls Publishing. Copyright © 2022, StatPearls Publishing LLC.; 2022.
Baker W. On the formation of synovial cysts in the leg in connection with disease of the knee-joint. St Bart Hosp Rep. 1877;15:245–61.
Rupp S, Seil R, Jochum P, Kohn D. Popliteal cysts in adults: prevalence, associated intraarticular lesions, and results after arthroscopic treatment. Am J Sports Med. 2002;30(1):112–5.
Fritschy D, Fasel J, Imbert JC, Bianchi S, Verdonk R, Wirth CJ. The popliteal cyst. Knee Surg Sports Traumatol Arthrosc. 2006;14(7):623–8.
Greenberg MH, Patel P, Mitcham E, Fant JW, Voss FR. Ultrasound aids diagnosis of a man with knee pain and swelling. Rheumatologist. 2019.
Kim JS, Lim SH, Hong BY, Park SY. Ruptured popliteal cyst diagnosed by ultrasound before evaluation for deep vein thrombosis. Ann Rehabil Med. 2014;38(6):843–6.
Alves TI, Girish G, Kalume Brigido M, Jacobson JA. US of the knee: scanning techniques, pitfalls, and pathologic conditions. Radiographics. 2016;36(6):1759–75.
Minagawa H, Wong KH. Musculoskeletal ultrasound: Echo anatomy & scan technique: Amazon Digital Services; 2017.
Duffy ST, Colgan MP, Sultan S, Moore DJ, Shanik GD. Popliteal aneurysms: a 10-year experience. Eur J Vasc Endovasc Surg. 1998;16(3):218–22.
Galland RB, Magee TR. Management of popliteal aneurysm. Br J Surg. 2002;89(11):1382–5.
Wolf YG, Kobzantsev Z, Zelmanovich L. Size of normal and aneurysmal popliteal arteries: a duplex ultrasound study. J Vasc Surg. 2006;43(3):488–92.
Rivera P, Dattilo J. Pseudoaneurysm. [Updated 2019 Nov 14]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2020. https://www.ncb.inlm.nih.gov/books/NBK542244/.
Kapoor BS, Haddad HL, Saddekni S, Lockhart ME. Diagnosis and management of pseudoaneurysms: an update. Curr Probl Diagn Radiol. 2009;38(4):170–88.
Cho K-H, Lee D-C, Chhem RK, Kim S-D, Bouffard JA, Cardinal E, et al. Normal and acutely torn posterior cruciate ligament of the knee at US evaluation: preliminary experience. Radiology. 2001;219(2):375–80.
Hsu C-C, Tsai W-C, Chen CP-C, Yeh W-L, Tang SF-T, Kuo J-K. Ultrasonographic examination of the normal and injured posterior cruciate ligament. J Clin Ultrasound. 2005;33(6):277–82.
Bowley MP, Doughty CT. Entrapment neuropathies of the lower extremity. Med Clin North Am. 2019;103(2):371–82.
Grant TH, Omar IM, Dumanian GA, Pomeranz CB, Lewis VA. Sonographic evaluation of common peroneal neuropathy in patients with foot drop. J Ultrasound Med. 2015;34(4):705–11.
Greenberg MH, Mitcham E, Patel P, Fant JW, Voss FR. Case report: ultrasound reveals cause of post-arthroplasty knee pain. Rheumatologist. 2020.
Visser LH, Hens V, Soethout M, De Deugd-Maria V, Pijnenburg J, Brekelmans GJ. Diagnostic value of high-resolution sonography in common fibular neuropathy at the fibular head. Muscle Nerve. 2013;48(2):171–8.
Spinner RJ, Desy NM, Amrami KK. Sequential tibial and peroneal intraneural ganglia arising from the superior tibiofibular joint. Skelet Radiol. 2008;37(1):79–84.
Baima J, Krivickas L. Evaluation and treatment of peroneal neuropathy. Curr Rev Musculoskelet Med. 2008;1(2):147–53.
Narasimhan M, Koenig SJ, Mayo PH. A whole-body approach to point of care ultrasound. Chest. 2016;150(4):772–6.
Kory PD, Pellecchia CM, Shiloh AL, Mayo PH, DiBello C, Koenig S. Accuracy of ultrasonography performed by critical care physicians for the diagnosis of DVT. Chest. 2011;139(3):538–42.
Driessen A, Balke M, Offerhaus C, White WJ, Shafizadeh S, Becher C, et al. The fabella syndrome - a rare cause of posterolateral knee pain: a review of the literature and two case reports. BMC Musculoskelet Disord. 2014;15:100.
Ehara S. Potentially symptomatic fabella: MR imaging review. Jpn J Radiol. 2014;32(1):1–5.
Khalil NFW, El-sherif S, El Hamid MMA, Elnemr R, Taleb RSZ. Role of global femoral cartilage in assessing severity of primary knee osteoarthritis. Egypt Rheumatol Rehabil. 2022;49(1):16.
Jacobson JA. Fundamentals of musculoskeletal ultrasound. 3rd ed. Philadelphia, PA: Elsevier; 2018.
Lee SY, Lee CA, Lee JH, Yim YJ, Kim CS. 0531: central hypoechogenic line on the ultrasonographic image of the meniscus: does it represent a meniscal tear? Ultrasound Med Biol. 2009;35(8, Supplement):S76.
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Greenberg, M.H., Day, A.L., Alradawi, S. (2023). Posterior Knee. In: Manual of Musculoskeletal Ultrasound . Springer, Cham. https://doi.org/10.1007/978-3-031-37416-6_17
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DOI: https://doi.org/10.1007/978-3-031-37416-6_17
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