Department of Orthopedic Surgery, Hanyang University Guri Hospital, Guri, South Korea.
Division of Rheumatology, Department of Internal Medicine, Hanyang University Guri Hospital, 153, Gyeongchunro, Guri, Gyeonggi-do, 11923, South Korea.
Rheumatol Int. 2019 Dec;39(12):2177-2183. doi: 10.1007/s00296-019-04278-9. Epub 2019 Apr 11.
Although popliteal cysts are most frequently identified in patients with osteoarthritis (OA), they may occur in patients with rheumatoid arthritis (RA), in which serious complicated cases such as cyst rupture can be developed. The objective of this study was to report four patients with RA (six knees) in combination with OA with a brief review of literature of previous similar published cases. This is a retrospective review of case records of patients with refractory and/or complicated popliteal cysts, who have successfully treated with arthroscopic intervention. We suggest that arthroscopic interventions such as radical debridement, synovectomy, biomechanical valve excision, and/or cystectomy should be considered in patients with refractory and complicated popliteal cysts associated with RA or RA in combination with OA.
尽管腘窝囊肿最常发生于骨关节炎（OA）患者，但也可能发生于类风湿关节炎（RA）患者中，在这些患者中可能会出现严重的复杂情况，如囊肿破裂。本研究的目的是报告 4 例 RA（6 膝）合并 OA 的患者，并对以前发表的类似病例进行文献复习。这是一项对接受关节镜介入治疗的难治性和/或复杂腘窝囊肿患者的病例记录进行的回顾性研究。我们建议，对于与 RA 相关的难治性和复杂腘窝囊肿，或 RA 合并 OA 的患者，应考虑行关节镜下彻底清创、滑膜切除术、生物力学瓣膜切除术和/或囊肿切除术。
