- Bekker's cyst - is fraught with serious complications
- As shown
What is a cyst Becker and the reasons of its occurrence
Becker Cyst (better yet Baker) - a cyst located in the popliteal fossa and arose as a result of inflammation in the knee joint. Bekker's cyst is formed as a result of the fact that the inflammatory fluid from the knee joint through the narrow slit-like holes penetrates the mucous tendon bag separating tendons that attach to the popliteal fossa. As a result of the inflammatory process pouch increases in size, there is pain and impaired movement in the knee joint. Often there is a bilateral cyst Becker. Cyst localized predominantly on the inner side of the popliteal fossa.
Popliteal cyst Becker identified in inflammatory processes in the knee joint (eg rheumatoid arthritis), exchange-distrficheskih changes in the joints, including developing after injury.
How does Bekker's cyst and possible complications of this disease
At the beginning of the disease Baker's cyst can occur unnoticed or cause a certain discomfort. But as it grows are pressed surrounding nerves, causing pain, numbness, or tingling in the soles of the feet, and limitation of movement, mainly knee flexion. Sometimes bending and broken toes.
In some cases, the cyst is visible to the eye in the form of protrusions in the popliteal fossa. When probing can detect dense elastic few painful tumor formation in the popliteal fossa.
Unless the cyst occurs almost imperceptibly, the complications it is impossible not to notice.
For example, Becker at break inflammatory cyst fluid therefrom enters the back of the leg muscles and exert their pain and increase in volume. The cyst can compress the veins of the lower leg, causing them to blood stasis, inflammation of the walls of the veins and the formation of blood clots. In some cases, this gap may cause thrombus occlusion of major blood vessels such as the pulmonary artery, which causes instantaneous death. Rupture of blood vessels can cause severe bleeding. Finally, squeezing the muscles, nerves and blood vessels can cause compression syndrome (compartment syndrome), which will lead to serious consequences for the function of the limb as a whole with the development of osteomyelitis (inflammation of the bone), soft tissue necrosis, and so on.
Diagnosis of cysts Becker
Cyst Becker has typical symptoms, however, to clarify the diagnosis is usually carried out the following studies:
- ultrasound of the knee;
- knee arthroscopy - a joint inspection of the cavity using a special device - the arthroscope, while the joint cavity enter the tube, and the image is transferred to the screen;
- Magnetic resonance imaging (MRI) - this is the most informative, but not always available method of investigation, due to the shortage of necessary equipment.
Treatment of cysts Becker
Treatment of popliteal cyst or cysts Becker can be conservative and surgical.
Conservative treatment for cysts Becker is its puncture (puncture) with the removal of the contents and the subsequent introduction of the cyst cavity steroid (eg, hydrocortisone). If at the time of treatment, there are signs of a disease of the knee joint, it is also treatable.
Long-existing cysts are rarely amenable to conservative treatment, as prone to obyzestvleniyu.
The indications for surgical treatment of cysts Becker are its large size, the restriction of knee flexion, compression of popliteal blood vessels, nerves and soft tissues, failure of conservative treatment. Such cysts are removed under local anesthetic with mucous tendon bags in which they were formed. To this end, over the cyst incision a few centimeters in length, allocate the cyst, its location messages from the cavity of the knee are stitched and bandaged, after which the cyst is removed.
Sometimes surgery is performed using an arthroscope. It is less traumatic, as it requires three small incisions are of equal length to the diameter of the tube, introduced into the joint cavity.
Cysts popliteal area to be treated, as they can give serious complications, up to the death of patients. Prevent the formation of cysts is the timely adequate treatment of diseases of the knee joint.