Arthroscopic treatment of a medial meniscal cyst using a posterior trans-septal approach: a case report

<p>Abstract</p> <p>Arthroscopic partial menisectomy followed by cyst decompression is currently recommended for treatment of a meniscal cyst. However, it is doubtful whether partial menisectomy should be performed on cysts communicating with the joint in cases without a meniscal te...

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Main Authors: Ohishi Tsuyoshi (Author), Torikai Eiji (Author), Suzuki Daisuke (Author), Banno Tomohiro (Author), Honda Yosuke (Author)
Format: Book
Published: BMC, 2010-10-01T00:00:00Z.
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Summary:<p>Abstract</p> <p>Arthroscopic partial menisectomy followed by cyst decompression is currently recommended for treatment of a meniscal cyst. However, it is doubtful whether partial menisectomy should be performed on cysts communicating with the joint in cases without a meniscal tear on its surface since meniscal function will be sacrificed. In this report, a meniscal cyst arising from the posterior horn of the medial meniscus without meniscal tear on its surface was resected using an arthroscopic posterior trans-septal approach. A 59 year-old male presented to our hospital with popliteal pain when standing up after squatting down. Magnetic resonance imaging revealed a multilobulated meniscal cyst arising from the posterior horn of the medial meniscus extending to the posterior septum with a grade 2 meniscal tear by Mink's classification. The medial meniscus was intact on the surface on arthroscopic examination. The meniscal cyst and posterior septum were successfully resected using a posterior trans-septal approach without harming the meniscus. This is the first report on a meniscal cyst being resected using an arthroscopic posterior trans-septal approach with a 9-month follow-up period.</p>
Item Description:10.1186/1758-2555-2-25
1758-2555