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Scholars Journal of Applied Medical Sciences | Volume-2 | Issue-03
35 Lateral Meniscal Cysts Treated Arthroscopically with Cystectomy: A Two Year Follow Up
Naveen Sharma, Vaibhav Patel, Shailendra Pratap Singh, Abdul Rahim
Published: June 28, 2014 |
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124
DOI: 10.36347/sjams.2014.v02i03.049
Pages: 1110-1113
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Abstract
The purpose of this study was to evaluate clinical outcome, we performed a retro-spective review of 35 lateral
meniscal cysts that were treated arthroscopically at our institution which was a retrospective study. From a series of 1000
knee arthroscopies, 41 patients who had lateral meniscal cysts were selected. 2 of the 35 patients were lost to follow-up
and 4 patients had associated other pathology; therefore, 35 lateral meniscal cysts on stable knees were included in this
study. Average follow-up was 2 years (range, 12 months to 42 months). The mean age was 33 years (range, 12 to 69
years). All patients had complained of tenderness over the joint line with a palpable mass. All patients underwent a
complete physical examination and all cases were treated arthroscopically before surgery and at last follow-up. Lateral
meniscal tear was found in all patients at the time of surgery and 20(57%) had a horizontal cleavage component. For
meniscal tears, arthroscopic partial lateral meniscectomy was performed in 34 cases and meniscal repair was done
in 1 case. , intraarticular debridement was performed for cyst in 2 cases and open cystectomy in 33. Two cysts recurred
and a second arthroscopy was required. The clinical results, including those cases with recurrent cysts, were excellent or
good in 87% of cases. In conclusion, when there was a cyst and no other intra-articular damage, the prognosis was
excellent. For lateral meniscal cysts, arthroscopic partial meniscectomy with intra-articular debridement yields
predictable results.