Baker’s Cyst, (Popliteal Cyst) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
Baker’s cyst
A few months ago I had this patient who consulted me over a swelling at the back of his right knee which he felt was growing bigger.
Having felt the swelling I suspected that it was a popliteal cyst.
To exclude any other possible causes such as tumors or meniscus cyst, I advised him to have an x-ray of his knee.
The x-ray did not show any abnormal tumor or extra calcification in the tendon or ligaments of the knee joint.
I decided to use a large syringe to drain the fluid with the consent of the patient to see whether I will be able to resolve the problem by aspiration of the cyst.
To prevent the fluid from returning to the cyst I had it fairly tightly bandaged and told him to release it if it is too tight but not to remove it.
2 weeks later he came back and told me that the swelling had recurred after he removed the bandage after 2 days.
So it was back to the aspiration again of the cyst and bandaging of the aspirated joint.
This time he did follow my instruction not to release the bandage.
When I saw him 2 more weeks later, the swelling had subsided.
I bandaged it again for another 2 weeks.
This time after 2 more weeks the bandage was removed and since then the swelling did not recur.
I was happy, so was the patient.
He had expected me to send him for a surgery if it did not improve.
Luckily for him he was well and did not require any surgery.
What is a Baker's cyst?
Baker's cyst is a medical condition in which the collection of joint fluid (synovial fluid) develops a swelling behind the knee.
A Baker's cyst (called a popliteal cyst) is a soft swelling sited in the popliteal space.
The term Baker’s cyst is not a true cyst because the swelling is the result of synovial fluid distending the gastrocnemio-semimembranosus bursa.
In older patients it is frequently part of a chronic knee joint effusion which herniates between the two heads of the gastrocnemius and is most frequently secondary to degenerative or meniscal pathology.
1. Primary cysts have not been found to join directly with the knee joint.
These cysts normally happen in young people and do not have symptoms.
2. Secondary cysts communicate freely with the knee joint and contain fluid of normal viscosity.
They are believed to be caused by a combination of weakness around the knee, internal pathology and valvular opening between the knee joint and bursa.
These forms of cysts happen in older people, frequently produce symptoms and are linked with underlying articular diseases.
Secondary cysts are more frequent than primary cysts.
What are the causes of Baker's cyst?
Causes
A Baker's cyst is produced by swelling in the knee.
The swelling is produced by a higher volume in the fluid that produces lubrication of the knee joint (synovial fluid).
When the pressure builds up, fluid pushes into the back of the knee.
Knee damage produced by a sports-related injury or a blow to the knee can result in a Baker's cyst developing.
In adults, the cause of Baker's cyst may be linked to an inflammatory process, meniscal tears or mechanical intra-articular abnormalities of the knee joint.
Baker's cyst frequently happens with:
1. A tear in the meniscal cartilage of the knee
2. Osteoarthritis normally caused by age-related "wear and tear" of joints.
It especially involves the knees, hips, hands and big toe.
3. Inflammatory arthritis such as rheumatoid arthritis which is a less frequent form of arthritis and is produced by the immune system attacking the joints.
4. Gout, a type of arthritis that normally involves the big toe and is produced by a build-up of the waste product uric acid in the blood
The most frequent conditions linked with Baker's cyst are rheumatoid arthritis, osteoarthritis, and juvenile rheumatoid arthritis.
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Baker’s Cyst, (Popliteal Cyst) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Baker’s Cyst,
(Popliteal Cyst)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Baker’s Cyst, Diagnosis, Treatment and Related Conditions or in vernacular terms
(What You need to treat Baker’s Cyst)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://ken-med.com.
From which many free articles from the blog was taken and put together into 600 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Baker’s cyst
A few months ago I had this patient who consulted me over a swelling at the back of his right knee which he felt was growing bigger.
Having felt the swelling I suspected