Abstract
The purpose of this article is to provide an overview of parameniscal
cyst pathology, diagnosis, and treatment. The article will discuss both
established treatment modalities and a novel technique for treatment of
#parameniscal cysts in patients with #concomittant Iliotibial Band
Friction Syndrome. In this method, operators scan using a high-frequency
linear ultrasound transducer with the scan plane corresponding to the
anatomic coronal plane. They then place a 25-gauge needle along the
#anterolateral margin of the lateral meniscus for aspiration of the
parameniscal cyst. Next, clinicians inject a standardized therapeutic
mixture of anesthetic and long-acting #corticosteroid into the
undersurface of the adjacent iliotibial band. Distention of the bursa is
the determining factor for a successful injection. Ultrasound allows
confirmation of correct injection placement, resulting in increased
accuracy and improved patient.#Meniscal cysts are an accumulation of synovial fluid within a sac
present in the knee joint. The cysts may be separated into two types,
parameniscal and intrameniscal. Both types may be present simultaneously
[1]. Meniscal cysts represent about 1% to 10% of all meniscal
#pathology. They are caused by meniscal tears resulting in one-way valves
that trap synovial fluid and are most commonly associated with
horizontal cleavage tears of the lateral meniscus.
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