Dynamics of Sonographic and Morphological Changes in Baker's Cyst Formation

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Abstract

Comparative analysis of sonographic and morphologic assessment in formation of Baker's cyst has been performed. There were 25 patients with gonarthrosis lasted 5.6 + years. In development of Baker’s cyst 3 periods were defined. Each period is characterized by structural changes caused by cyst development age and gonarthrosis stage. The period has specific quantitative and qualitative patterns of cyst wall and content. Ultrasound diagnosis of cyst structural development was reliably verified by histologic data. Ultrasound assessment of synovial masses in popliteal area allows to differentiate Baker’s cyst with other pathologic processes in deforming knee arthrosis of different genesis. Accurate definition of structural cyst development periods is useful for the detection of indications for cyst extirpation.

 

About the authors

I. M. Danilova

Russian Research Center "Restorative Traumatology and Orthopedics" G.A. Ilizarov

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Kurgan

A. M. Chirkova

Russian Research Center "Restorative Traumatology and Orthopedics" G.A. Ilizarov

Email: info@eco-vector.com
Russian Federation, Kurgan

V. D. Makushin

Russian Research Center "Restorative Traumatology and Orthopedics" G.A. Ilizarov

Email: info@eco-vector.com
Russian Federation, Kurgan

O. K. Chegurov

Russian Research Center "Restorative Traumatology and Orthopedics" G.A. Ilizarov

Email: info@eco-vector.com
Russian Federation, Kurgan

References

Supplementary files

Supplementary Files
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1. JATS XML
2. Rice. Fig. 1. Baker's cyst, period I of structural changes. c — histological picture of the cyst wall: proliferation of connective tissue cells of the inner (synovial) layer (stained with hematoxylin and eosin, vol. 16, ok. 10).

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3. Rice. Fig. 2. Baker's cyst, II period of organization.a - sonogram with longitudinal scanning: thickening of the synovial membrane up to 7 mm, villi and single tender septa are visualized. The content is heterogeneous, with echo-dense inclusions without an acoustic shadow; b, c — histological picture of the cyst wall: pronounced proliferative changes in the inner layer (b), ingrowth of cell strands into fibrinous masses (c) (stained with hematoxylin and eosin, v. 16, ca. 10).

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4. Rice. 3. Baker's cyst, III period of organization. a, b — sonograms with longitudinal and transverse scanning: an isoechogenic formation with clear contours and a heterogeneous internal structure, limited areas with a slight internal echo, a sharp (up to 16 mm) thickening of the cyst wall are visualized; c — histological picture of the cyst wall: edema and fibrillation of the connective tissue of the inner layer, inflammatory and proliferative changes in the deep layer (stained with hematoxylin and eosin, vol. 63, ca. 10).

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