Evidence map›Paper›PMID 36912920›Full record

ArticleInternational orthopaedics2023

Arthroscopic cystectomy and valve excision of popliteal cysts complemented with management of intra-articular pathologies: a low recurrence rate and good functional outcomes in a series of ninety seven cases.

Konrad Malinowski, Marcin Mostowy, Michał Ebisz, Przemyslaw A Pękala, Nicholas I Kennedy, Robert F LaPrade

Open access · hybridAbstract read
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Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Konrad MalinowskiDepartment of Anatomy, International Evidence-Based Anatomy Working Group, Jagiellonian University Medical College, Kraków, Poland. malwin8@wp.pl.ORCID http://orcid.org/0000-0001-7573-7937
Marcin MostowyArtromedical Orthopaedic Clinic, Antracytowa 1, 97-400, Belchatow, Poland.ORCID http://orcid.org/0000-0002-8301-164X
Michał EbiszArtromedical Orthopaedic Clinic, Antracytowa 1, 97-400, Belchatow, Poland.ORCID http://orcid.org/0000-0001-6084-844X
Przemyslaw A PękalaDepartment of Anatomy, International Evidence-Based Anatomy Working Group, Jagiellonian University Medical College, Kraków, Poland.ORCID http://orcid.org/0000-0002-9750-2650
Nicholas I KennedyTwin Cities Orthopedics, 4010 W 65th St Edina, 55435, Minnesota, USA.
Robert F LaPradeTwin Cities Orthopedics, 4010 W 65th St Edina, 55435, Minnesota, USA.ORCID http://orcid.org/0000-0002-9823-2306
Jagiellonian University · PLTwin Cities Orthopedics · USMedical University of Lodz · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeArthroscopy in popliteal cyst surgery enables addressing all components of its pathomechanism: the cyst wall, valvular mechanism, and concomitant intra-articular pathologies. Techniques differ as to the management of the cyst wall and the valvular mechanism. This study aimed to assess the recurrence rate and functional outcomes of a cyst wall and valve excising arthroscopic technique with concurrent intra-articular pathology management. The secondary purpose was to assess cyst and valve morphology and concomitant intra-articular findings.

methodsBetween 2006 and 2012, 118 patients with symptomatic popliteal cysts refractory to at least three months of guided physiotherapy were operated on by a single surgeon using a cyst wall and valve excising arthroscopic technique with intra-articular pathology management. Patients were evaluated preoperatively and at a mean follow-up of 39 months (range 12-71) by ultrasound, Rauschning and Lindgren, Lysholm, and VAS of perceived satisfaction scales.

resultsNinety-seven out of 118 cases were available for follow-up. Recurrence was observed on ultrasound in 12/97 cases (12.4%); however, it was symptomatic only in 2/97 cases (2.1%). Mean scores improved: Rauschning and Lindgren from 2.2 to 0.4, Lysholm from 54 to 86, and VAS of perceived satisfaction from 5.0 to 9.0. No persistent complications occurred. Arthroscopy revealed simple cyst morphology in 72/97 (74.2%) and presence of a valvular mechanism in all cases. The most prevalent intra-articular pathologies were medial meniscus (48.5%) and chondral lesions (33.0%). There were significantly more recurrences in grade III-IV chondral lesions (p = 0.03).

conclusionsArthroscopic popliteal cyst treatment had a low recurrence rate and good functional outcomes. Severe chondral lesions increase the risk of cyst recurrence.

Indexed as

Popliteal CystSurgeonsArthroscopyCystectomyHumansTreatment OutcomeArthroscopyBaker’s cystPopliteal cyst

Identifiers

PMID36912920
PMCPMC10199846
OpenAlexW4324017948

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.