Advertisement
Case Report| Volume 25, ISSUE 9, P1054-1057, September 2009

Download started.

Ok

Popliteal Artery Pseudoaneurysm After Arthroscopic Cystectomy of a Popliteal Cyst

      Abstract

      A case of popliteal artery aneurysm after arthroscopic cystectomy of a popliteal cyst is an uncommon complication, and no case has been reported. We present a case of pseudoaneurysm of the popliteal artery after arthroscopic cystectomy of a popliteal cyst 2 months after surgery. Open excision of the pseudoaneurysm and popliteal artery pin-point repair were done. At 30 months' follow-up, both the tibialis posterior and dorsalis pedis pulsations were felt equally on both sides with normal sensations over the limb. Retrospectively reviewing the case, we found that the relation of the popliteal artery and popliteal cyst on preoperative magnetic resonance images can predict the complication of pseudoaneurysm of the popliteal artery. It is better not to shave the lateral aspect of the cyst while performing arthroscopic cystectomy when magnetic resonance images show that the popliteal artery is close to the cyst.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Arthroscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Childress H.M.
        Popliteal cysts associated with undiagnosed posterior lesions of the medial meniscus.
        J Bone Joint Surg Am. 1970; 52: 1487-1492
        • Rauschning W.
        • Lindgren P.G.
        The clinical significance of the valve mechanism in communicating popliteal cysts.
        Arch Orthop Trauma Surg. 1979; 95: 251-256
        • Calvisi V.
        • Lupparelli S.
        • Giuliani P.
        Arthroscopic all-inside suture of symptomatic Baker's cysts: A technical option for surgical treatment in adults.
        Knee Surg Sports Traumatol Arthrosc. 2007; 15: 1452-1460
        • Takahashi M.
        • Nagano A.
        Arthroscopic treatment of popliteal cyst and visualization of its cavity through the posterior portal of the knee.
        Arthroscopy. 2005; 21 (Available online at www.arthroscopyjournal.org): 638.e1-638.e4
        • Ko S.
        • Ahn J.
        Popliteal cystoscopic excisional debridement and removal of capsular fold of valvular mechanism of large recurrent popliteal cyst.
        Arthroscopy. 2004; 20: 37-44
        • Ahn J.H.
        • Yoo J.C.
        • Lee S.H.
        • Lee Y.S.
        Arthroscopic cystectomy for popliteal cysts through the posteromedial cystic portal.
        Arthroscopy. 2007; 23 (Available online at www.arthroscopyjournal.org): 559.e1-559.e4
        • Beck D.E.
        • Robison J.G.
        • Hallett Jr, J.W.
        Popliteal artery pseudoaneurysm following arthroscopy.
        J Trauma. 1986; 26: 87-89
        • Jimenez F.
        • Utrilla A.
        • Cuesta C.
        • et al.
        Popliteal artery and venous aneurysm as a complication of arthroscopic meniscectomy.
        J Trauma. 1988; 28: 1404-1405
        • Janssen R.P.
        • Scheltinga M.R.
        • Sala H.A.
        Pseudoaneurysm of the popliteal artery after anterior cruciate ligament reconstruction with bicortical tibial screw fixation.
        Arthroscopy. 2004; 20 (Available online at www.arthroscopyjournal.org): e5-e7
        • Mullen D.J.
        • Jabaji G.J.
        Popliteal pseudoaneurysm and arteriovenous fistula after arthroscopic meniscectomy.
        Arthroscopy. 2001; 17: 1e
        • Megalopoulos A.
        • Siminas S.
        • Trelopoulos G.
        Traumatic pseudoaneurysm of the popliteal artery after blunt trauma: Case report and a review of the literature.
        Vasc Endovascular Surg. 2006; 40: 499-504
        • DeLee J.C.
        Complications of arthroscopy and arthroscopic surgery: Results of a national survey.
        Arthroscopy. 1985; 1: 214-220
        • Small N.C.
        Complications in arthroscopy: The knee and other joints.
        Arthroscopy. 1986; 2: 253-258
        • Small N.C.
        Complications in arthroscopic surgery performed by experienced arthroscopists.
        Arthroscopy. 1988; 4: 215-221
        • Ritt M.J.
        • Te Slaa R.L.
        • Koning J.
        • Bruijn J.D.
        Popliteal pseudoaneurysm after arthroscopic meniscectomy.
        Clin Orthop Relat Res. 1993; : 198-200