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OrthoVellum

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Sports Medicine
intermediate
X-Type

Baker's Cyst - Gastrocnemius-Semimembranosus Bursa, Foucher Sign and Management

Knee Conditions

A 55-year-old man presents with posterior knee swelling and calf tightness that has developed over several months. He has a history of medial meniscal pathology and mild osteoarthritis. Examination reveals a soft, fluctuant mass in the popliteal fossa that becomes more prominent with knee extension and less visible with flexion. There is no calf tenderness or erythema. Ultrasound confirms a 4cm cyst communicating with the knee joint between the medial head of gastrocnemius and semimembranosus tendons. The surgeon discusses the relationship between the cyst and underlying knee pathology. Regarding Baker's cyst (popliteal cyst) and its management:

Mark each as TRUE or FALSE

A

Baker's cyst is a distension of the GASTROCNEMIUS-SEMIMEMBRANOSUS BURSA that communicates with the k...

B

FOUCHER SIGN is pathognomonic: the cyst becomes MORE prominent in EXTENSION and LESS visible in FLEX...

C

Baker's cyst is a distension of the popliteus bursa; in adults, 95% are PRIMARY with no underlying p...

D

RUPTURED Baker's cyst causes PSEUDOTHROMBOPHLEBITIS with calf pain, swelling, and tenderness mimicki...

E

Management focuses on treating UNDERLYING PATHOLOGY not the cyst itself; arthroscopic treatment of m...

Answer the questions to see explanations

Click T (True) or F (False) for each option