Erkus Serkan, Soyarslan Mehmet, Kose Ozkan, Kalenderer Onder
Department of Orthopedics and Traumatology, Tepecik Training and Research Hospital, Izmir, Turkey.
Department of Orthopedics and Traumatology, Suruc State Hospital, Sanliurfa, Turkey.
Int J Crit Illn Inj Sci. 2019 Apr-Jun;9(2):82-86. doi: 10.4103/IJCIIS.IJCIIS_84_18.
Baker's cyst is a distention or enlargement of the gastrocnemius-semimembranosus bursa toward the popliteal fossa which is usually associated with intra-articular pathologies. Rupture or dissection of the Baker's cyst results in extravasation of the cyst content into the calf within intermuscular space under the fascia. This clinical entity, also called pseudothrombophlebitis, is a self-limited condition that usually resolves with supportive treatment. However, in patients using anticoagulants, excessive hemorrhage may cause compartment syndrome in case of cyst rupture. Early diagnosis of compartment syndrome is the most important step in preventing permanent disability. Therefore, compartment syndrome should be kept in mind and ruled out in a patient with pseudothrombophlebitis syndrome under anticoagulation therapy.
贝克囊肿是腓肠肌-半膜肌滑囊向腘窝处的扩张或肿大，通常与关节内病变相关。贝克囊肿破裂或剥离会导致囊肿内容物渗入小腿筋膜下的肌间隙。这种临床病症，也称为假性血栓性静脉炎，是一种自限性疾病，通常通过支持性治疗即可缓解。然而，对于正在使用抗凝剂的患者，囊肿破裂时过度出血可能会导致骨筋膜室综合征。骨筋膜室综合征的早期诊断是预防永久性残疾的最重要步骤。因此，对于接受抗凝治疗的假性血栓性静脉炎综合征患者，应牢记并排除骨筋膜室综合征。
