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Baker's Cyst

Posted by
Lisa on June 18, 2001 at 14:54:24:

Hello Dr. Stoll:

I have read your information on Bakers Cysts and I wanted to first tell you how much I appreciate the information. I have recently been diagnosed with Bakers Cysts in my right knee which received a severe trauma last summer. My Orthopedic Surgeon, who is extremely well respected in Denver, having worked as the Denver Nuggets and Colorado Avalanche Orthopedic Surgeon, had never seen a case like mine before.

Last summer I tore my ACL, LCL, MCL and medial meniscus in a boating accident. Virtually I bent my knee sideways. After going through the surgery and rehab, I have developed a fluid bump on the front of my knee where the MCL was repaired. It also juts out on the right side of the knee cap. It limits my mobility in that I can not bend my knee all of the way back. Lately I have noticed numbness in and around my knee and the muscles that attach on the inside below my knee cap have been soar.

My Orhtopedic surgeon ordered an MRI to determine what was going on in the knee. It was diagnosed with having three Baker Cysts. One on the front side and two in the back. Prior to this, my ortho had never seen or diagnosed a Baker's cyst on the front of the knee. That's why he didn't know what it was. He thought that maybe I had torn my MCL reconstruction.

In going to my Chiropractor and discussing it with him, he took me into his office and showed me a poster of different muscle groups and pointed out that there is a muscle that cris crosses on the back of my knee and when that is over stressed, it causes Baker's Cysts. His solution is to put me into orhtodics to correct my step since I am flat footed. Prior to the knee injury, I had had the knee reconstructed for an ACL and medial meniscus repair and then after that, it was scoped once. After the first knee injury, I broke the same leg spiral fracturing the ankle. I was casted for 6 months and when I came out of the cast, the large bone on my big toe had rolled out and created a bunyon.

Now here is my question: You say that the only way that Bakers Cysts can be corrected is to have them removed and have the tear repaired. I agree with you there but I am concerned about my cyst on the front of my leg, as everything that I have read pertaining to the info on your web site states that they are removed through the back of the knee. I have three of them per the MRI.

Since it doesn't appear that my ortho has down this type of surgery before, is there someone that you could recommend in Denver that would be farmiliar with this condition. Also, someone who would be experienced in doing this type of surgery. Is it invasive or can it be done othroscopically?

Thank you in advance for your advice and reply.

Sincerely,

Lisa Wildeman



Re: Baker's Cyst (Archive.)

Posted by Walt Stoll on June 20, 2001 at 09:42:32:

In Reply to: Baker's Cyst posted by Lisa on June 18, 2001 at 14:54:24:

Hi, Lisa.

With this much trauma, you may continue to have recurrences no matter what you do.

However, STILL, eliminating the bracing is your best bet. That is going to take you a year or so but you have a LOT of years to live with this damaged leg and a year is little to make the rest of your life more livable.

I do not think the tears can be found or repaired arthroscopically. Your surgeon would know best about that.

Let us know how you do.

Walt

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