A case of ruptured infrapatellar bursa sac with Baker's cyst

Emmanuel Fiagbedzi; Joseph Arkorful; Isaac Frimpong Brobbey; Emmanuel Appiah; Savanna Nyarko; Nicholas Otumi; Albert Dayor Piersson; Obed Nimo; Ishmael Nii Ofori; Philip Narteh Gorleku

Radiology Case Reports (Jan 2025)

A case of ruptured infrapatellar bursa sac with Baker's cyst

Emmanuel Fiagbedzi,
Joseph Arkorful,
Isaac Frimpong Brobbey,
Emmanuel Appiah,
Savanna Nyarko,
Nicholas Otumi,
Albert Dayor Piersson,
Obed Nimo,
Ishmael Nii Ofori,
Philip Narteh Gorleku

Affiliations

Emmanuel Fiagbedzi: Department of Medical Physics, University of Ghana, Accra, Ghana; Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana; Corresponding author.
Joseph Arkorful: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Isaac Frimpong Brobbey: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Emmanuel Appiah: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Savanna Nyarko: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Nicholas Otumi: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Albert Dayor Piersson: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Obed Nimo: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Ishmael Nii Ofori: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana
Philip Narteh Gorleku: Department of Medical Imaging Technology and Sonography, University of Cape Coast, College of Health and Allied Sciences, Cape Coast, Ghana

Journal volume & issue: Vol. 20, no. 1
pp. 700 – 704

Abstract

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A 40-year-old female arrived with persistent posterior right knee pain, swelling in the popliteal, infrapatellar, anterior calf areas and difficulty walking due to joint stiffness. Multiple hypoechoic collections with internal echoes and debris were discovered in the anterior calf region using ultrasound imaging, which extended from a thick-walled infrapatellar hypoechoic collection with peripheral vascularity. A significant popliteal fossa cyst of comparable appearance was also observed. The results were consistent with a ruptured infrapatellar bursa sac and a popliteal fossa (Baker's cyst). The patient received conservative treatment with anti-inflammatory drugs, leading to the resolution of symptoms after a period of 6 weeks. For patients with more complex cysts, procedures like aspiration and corticosteroid injections under ultrasound guidance may be necessary. Recognizing the condition and using ultrasound for diagnosis and management can lead to successful outcomes.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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