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

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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.

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Authors and Affiliations

  1. Division of Knee Surgery and Sports Traumatology, Department of Orthopaedic Surgery and Traumatology, University Hospital Leuven, Leuven, Belgium

    Kristoff Corten, Hilde Vandenneucker, Peter Reynders, Stefaan Nijs & Johan Bellemans

  2. Department of Orthopaedic Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium

    Theo Pittevils

  3. Division of Knee Surgery and Sports Traumatology, Department of Orthopaedic Surgery and Traumatology, University Hospital Pellenberg, Weligerveld 1, 3212, Pellenberg, Belgium

    Kristoff Corten

Authors
  1. Kristoff Corten
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  2. Hilde Vandenneucker
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  3. Peter Reynders
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  4. Stefaan Nijs
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  5. Theo Pittevils
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  6. Johan Bellemans
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Correspondence to Kristoff Corten.

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Corten, K., Vandenneucker, H., Reynders, P. et al. A pyogenic, ruptured Baker’s cyst induced by arthroscopic pressure pump irrigation. Knee Surg Sports Traumatol Arthrosc 17, 266–269 (2009). https://doi.org/10.1007/s00167-008-0679-7

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  • DOI: https://doi.org/10.1007/s00167-008-0679-7

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