Case Reports
doi: 10.1007/s00167-008-0679-7.
Epub 2008 Dec 16.
A pyogenic, ruptured Baker's cyst induced by arthroscopic pressure pump irrigation
Affiliations
- PMID: 19083206
- DOI: 10.1007/s00167-008-0679-7
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Case Reports
A pyogenic, ruptured Baker's cyst induced by arthroscopic pressure pump irrigation
Knee Surg Sports Traumatol Arthrosc.
2009 Mar.
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.
