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When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?

Introduction: Meniscal cysts very often cause meniscal tears and especially when it is peripheral, some of the healthy parts of meniscus might be needlessly sacrificed. In particular conditions, extraarticular approaches might save some menisci. In the present study, we evaluated the conditions whic...

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Autores principales: Bombaci, Hasan, Kuyumcu, Mehmet, Coskun, Tamer, Kaya, Emre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849224/
https://www.ncbi.nlm.nih.gov/pubmed/27163108
http://dx.doi.org/10.1051/sicotj/2015046
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author Bombaci, Hasan
Kuyumcu, Mehmet
Coskun, Tamer
Kaya, Emre
author_facet Bombaci, Hasan
Kuyumcu, Mehmet
Coskun, Tamer
Kaya, Emre
author_sort Bombaci, Hasan
collection PubMed
description Introduction: Meniscal cysts very often cause meniscal tears and especially when it is peripheral, some of the healthy parts of meniscus might be needlessly sacrificed. In particular conditions, extraarticular approaches might save some menisci. In the present study, we evaluated the conditions which required using the extraarticular approach in addition to the arthroscopic procedure, to maximally preserve the meniscus. Methods: Eight patients with perimeniscal cysts were evaluated retrospectively. One cyst was localized within the medial meniscus and seven in the lateral meniscus. The mean age was 36.13 (range; 19–63) years, mean follow-up time, 27.3 (range; 12–47) months. Patients were evaluated by using a Visual Analogue Score (VAS) to measure pain relief and “Lysholm score” to measure functional improvement. In all patients except one, in which the cystic cavity was connected with the joint at the periphery of the meniscus, the cyst was drained from the intraarticular opening. When the cyst was too large (three cases) and in one case where a large amount of meniscus was preserved for reasons mentioned above, additional extraarticular drainage was carried out. Results: The mean preoperative and postoperative VAS were 6 (range; 2–8) and 1.55 (range; 0–3) (p = 0.00058) and Lysholm scores were 64.75 (range; 48–86) and 93.11 (range; 80–100) (p = 0.0014), respectively. Discussion: In cysts, which have very limited or no connection with the joint on the most peripheral region of the meniscus and/or are larger than the meniscus height, extraarticular drainage of the cyst might produce unnecessary meniscal loss and function. In the extraarticular drainage, scrapping the walls of the cyst, while inspecting with an arthroscope, reduces recurrence of the cyst.
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spelling pubmed-48492242016-05-09 When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst? Bombaci, Hasan Kuyumcu, Mehmet Coskun, Tamer Kaya, Emre SICOT J Original Article Introduction: Meniscal cysts very often cause meniscal tears and especially when it is peripheral, some of the healthy parts of meniscus might be needlessly sacrificed. In particular conditions, extraarticular approaches might save some menisci. In the present study, we evaluated the conditions which required using the extraarticular approach in addition to the arthroscopic procedure, to maximally preserve the meniscus. Methods: Eight patients with perimeniscal cysts were evaluated retrospectively. One cyst was localized within the medial meniscus and seven in the lateral meniscus. The mean age was 36.13 (range; 19–63) years, mean follow-up time, 27.3 (range; 12–47) months. Patients were evaluated by using a Visual Analogue Score (VAS) to measure pain relief and “Lysholm score” to measure functional improvement. In all patients except one, in which the cystic cavity was connected with the joint at the periphery of the meniscus, the cyst was drained from the intraarticular opening. When the cyst was too large (three cases) and in one case where a large amount of meniscus was preserved for reasons mentioned above, additional extraarticular drainage was carried out. Results: The mean preoperative and postoperative VAS were 6 (range; 2–8) and 1.55 (range; 0–3) (p = 0.00058) and Lysholm scores were 64.75 (range; 48–86) and 93.11 (range; 80–100) (p = 0.0014), respectively. Discussion: In cysts, which have very limited or no connection with the joint on the most peripheral region of the meniscus and/or are larger than the meniscus height, extraarticular drainage of the cyst might produce unnecessary meniscal loss and function. In the extraarticular drainage, scrapping the walls of the cyst, while inspecting with an arthroscope, reduces recurrence of the cyst. EDP Sciences 2016-04-20 /pmc/articles/PMC4849224/ /pubmed/27163108 http://dx.doi.org/10.1051/sicotj/2015046 Text en © The Authors, published by EDP Sciences, 2016 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bombaci, Hasan
Kuyumcu, Mehmet
Coskun, Tamer
Kaya, Emre
When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?
title When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?
title_full When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?
title_fullStr When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?
title_full_unstemmed When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?
title_short When should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?
title_sort when should the external approach be resorted to in the arthroscopic treatment of perimeniscal cyst?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849224/
https://www.ncbi.nlm.nih.gov/pubmed/27163108
http://dx.doi.org/10.1051/sicotj/2015046
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