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Rehabilitation Practice and Science

Translated Title

貝克氏囊腫破裂表現類似深層靜脈栓塞於類風濕性關節炎患者：病例報告

Abstract

Baker's cysts arise from a distension of a gastrocnemio-semimembranosus bursa, which are often associated with knee pathology including osteoarthritis, rheumatoid arthritis, and other inflammatory arthropathies. Clinical presentations of Baker's cysts are posterior knee swelling, tightness, and pain. Knee joint aspiration and intra-articular corticosteroid injection can relieve symptoms. However, treating underlying diseases is more important for recurrence prevention. Cyst rupture is a complication of Baker's cysts and may induce leg swelling and pain mimicking deep vein thrombosis. It is difficult to distinguish between a ruptured Baker's cyst and deep vein thrombosis because of similar symptoms. If a ruptured Baker's cyst is misdiagnosed as deep vein thrombosis and patients are treated with anticoagulants, this may result in cyst hemorrhage, which deteriorates the patient's condition. Musculoskeletal ultrasound can help early detection and differentiation between these two disorders.We report the case of a 67-year-old woman with a history of rheumatoid arthritis who complained initially of left posterior knee pain. Subsequently, left leg swelling and pain were noted, and deep vein thrombosis was first suspected. However, a ruptured Baker's cyst was diagnosed after performing computed-tomographic angiography and musculoskeletal ultrasonography. The patient recovered after treatment with rehabilitation and medication.

Language

Traditional Chinese

First Page

171

Last Page

176

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