Baker's Cyst-Case Report
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Baker's cyst is a pocket of fluid that forms a lump behind the knee. It is also called a popliteal cyst. It is usually the result of a problem with the knee joint, such as arthritis or a cartilage tear. Both the condition can cause the knee to produce too much of synovial fluid, which can leads to a baker's cyst. It tends to occur in adults from ages 35 to 70 years and above. It is common in women than in men due to inflammatory knee joint diseases such as osteoarthritis, rheumatoid arthritis etc. Popliteal cyst in adults are often secondary to degenerative or inflammatory joint disease or joint injury, they usually communicate with the adjacent knee space, especially in older patients with knee pathology communicating cyst contains synovial fluid. In children, popliteal cysts are usually a primary process, arising directly from the gastrocnemius-semimembranosus bursa, they do not communicate with the joint space. Symptoms may include; visible swelling or protrusion on the back of the knee (which can be painful or painless), constant and prolonged knee pain, and tightness at the back of the knee or simply a feeling of tenderness at the back of the knee. It can be diagnosed on by physical examination, x-ray, ultrasound, Doppler study, MRI, CT and Arthrogram. Treatment may include painkillers, R.I.C.E principles, aspiration of excess fluid with corticosteroid injection directly on the swelling. Arthroscopy surgery is done to repair any knee damage. So it is important for the nurses, nursing students to be aware of those cysts to care the client efficiently and effectively. This case report was to discuss regarding bakers cyst and its management.
Bakers cyst, synovial fluid, osteoarthritis, rheumatoid arthritis, gastrocnemius-semimembranosus Bursa, arthrogram, Arthroscopy.