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Snapping knee caused by medial meniscal cyst.
Tsuyoshi Ohishi1, Daisuke Suzuki1, Kazufumi Yamamoto1
1Department of Orthopaedic Surgery, Enshu Hospital, 1-1-1 Chuo, Naka-ku, Hamamatsu, Shizuoka 430-0929, Japan.
Case Reports in Orthopedics
|May 14, 2014
Summary
A rare snapping knee in a 66-year-old female was caused by the sartorius muscle impinging on a large medial meniscal cyst. Arthroscopic surgery resolved the snapping and cyst without recurrence over two years.
Area of Science:
- Orthopedics
- Sports Medicine
- Musculoskeletal Disorders
Background:
- Snapping knee phenomenon, particularly around the medial aspect, is an uncommon clinical presentation.
- The sartorius muscle is rarely implicated as a cause of snapping knee syndrome.
Purpose of the Study:
- To report a rare case of snapping knee caused by the sartorius muscle.
- To describe the diagnostic findings and successful treatment of a medial meniscal cyst causing this condition.
Main Methods:
- Magnetic resonance imaging (MRI) was utilized to diagnose the cause of the snapping knee.
- The patient underwent arthroscopic surgery, including cyst decompression and limited meniscectomy.
Main Results:
- MRI revealed a large medial meniscal cyst with an associated horizontal tear of the medial meniscus.
- Arthroscopic intervention led to complete resolution of the snapping knee symptoms.
- No recurrence of the meniscal cyst was noted during a two-year follow-up period.
Conclusions:
- The sartorius muscle can cause snapping knee by impinging on a medial meniscal cyst.
- Arthroscopic management of medial meniscal cysts is an effective treatment for associated snapping knee.
- Surgical decompression and meniscectomy offer a durable solution for this rare condition.
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