Concluded Case

KNEE SWELLING

A 45Y,M , Farmer by Occupation ,Suffering from swelling on lateral side of knee&dull aching pain since 15days. No H/O Trauma. Pain &Swelling are increased with knee flexion during eating on floor and usage of Indian style toilets. No comorbid conditions. O/E 5*4cm swelling ,soft in consistency, No Tenderness,no raise in Temp, size increases during knee flexion,decreased (but not disappear) on straightening of leg. No limitation of leg movements. Plz ....suggest management????

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Concluded answer
This is case of lateral cartilage cyst of knee may be due old lateral cartilage tear and during knee movement for long time there is protrusion of synovial fluid from the joint giving rise to swelling. This may be due to degenerative changes also. Lateral cartilage cyst is more common though the incidence medial cartilage is more than lateral one. Best diagnosed by MRI Arthroscopic decompression of the cyst with partial excision of thae cartilage Some surgeon like to go for total excision of cartilage with the cyst.
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This is case of lateral cartilage cyst of knee may be due old lateral cartilage tear and during knee movement for long time there is protrusion of synovial fluid from the joint giving rise to swelling. This may be due to degenerative changes also. Lateral cartilage cyst is more common though the incidence medial cartilage is more than lateral one. Best diagnosed by MRI Arthroscopic decompression of the cyst with partial excision of thae cartilage Some surgeon like to go for total excision of cartilage with the cyst.
Thanks Dr Bipin Bihari Jain
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Popliteal cyst...? A fluid-filled cyst behind the knee. A Popiliteal cyst is usually the result of knee-joint conditions, such as arthritis or torn cartilage, that cause the knee to produce too much lubricating fluid. This tyoe of cyst, is usually the result of a problem with your knee joint, such as arthritis or a cartilage tear. Both conditions can cause your knee to produce too much fluid, which can lead to a Baker's cyst.
Thank you doctor
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The swelling is on Lateral aspect of popliteal fossa, may be due to Baker's cyst *Acute OA knee? *X-ray to rule out the bony changes *Avoid the aggravating activities *Modification of activities *NSAIDs for reduction of inflammation *knee elastic support can be used
Thank you Sir@Dr. Ashok Leel
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* Cyst ** O A. Twisting or tear. Local support. Analgesic antiinflammatory orally. Change in life style. Needs further investigation and evaluation to conclude and line of treatment. Rest with compression.
Thank you doctor
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cyst dd/twisting,or effusion radiographic investigation needed changing lifestile take some support during toilet,and other activities tab.enzoflm and compression knee cap is best
Thank you doctor
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(?) Bursa. X-ray knee suggested. NSAID with limitation of weight bearing may resolve bursa.
Thank you doctor
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Baker's cyst? Knee OA? For further evaluation X RAY IS NEEDED
Thank you doctor
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Look like knee effusion Xrays Usg evaluation CBC esr
Thank you doctor
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D/d Baker's cyst 2 lipoma
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Lipoma or cyst
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