A pyogenic, ruptured Baker's cyst induced by arthroscopic pressure pump irrigation.
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.
Corten
Kristoff
K
Division of Knee Surgery and Sports Traumatology, Department of Orthopaedic Surgery and Traumatology, University Hospital Leuven, Leuven, Belgium. kristoffcorten@hotmail.com
Vandenneucker
Hilde
H
Reynders
Peter
P
Nijs
Stefaan
S
Pittevils
Theo
T
Bellemans
Johan
J
D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000601:surgery*; D001182:Arthroscopy / Q000009:adverse effects* / Q000379:methods; D002981:Clindamycin / Q000627:therapeutic use; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D007260:Infusion Pumps / Q000009:adverse effects*; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000209:etiology; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D007866:Leg / Q000000981:diagnostic imaging / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D011151:Popliteal Cyst / Q000000981:diagnostic imaging / Q000209:etiology*; D011152:Popliteal Vein / Q000000981:diagnostic imaging; D011312:Pressure / Q000009:adverse effects; D012421:Rupture / Q000000981:diagnostic imaging / Q000209:etiology; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D000074402:Synovectomy; D013583:Synovial Membrane / Q000000981:diagnostic imaging / Q000293:injuries / Q000382:microbiology; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology
D000900:Anti-Bacterial Agents; D006495:Heparin, Low-Molecular-Weight; D002981:Clindamycin