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Post-traumatic Medial Meniscal Cyst in young: A case report
Prafulla Herode1, Abhijeet Shroff1, Vishal Mandlewala1
1Department of Orthopaedics, Dr. D.Y. Patil Medical College and Research Centre, Pune. Maharashtra, India.
Journal of Orthopaedic Case Reports
|January 25, 2017
Summary
This study highlights a successful arthroscopic posterior trans-septal approach for resecting a medial meniscus parameniscal cyst. This technique offers a viable treatment option for knee pain and swelling caused by meniscal cysts.
Area of Science:
- Orthopedic Surgery
- Knee Arthroscopy
- Meniscal Pathology
Background:
- Meniscal cysts, particularly those of the medial meniscus, are uncommon knee conditions.
- Etiology involves trauma, degeneration, or synovial fluid extrusion through meniscal tears.
- Current treatment often involves arthroscopic partial meniscectomy and cyst decompression.
Observation:
- An 18-year-old female presented with right knee pain and swelling following a 3-year history of trauma.
- Physical examination revealed a firm, 1x2 cm swelling on the medial tibial condyle.
- MRI indicated a grade 3 horizontal tear in the posterior horn of the medial meniscus with an adjacent parameniscal cyst.
Findings:
- A medial parameniscal cyst was successfully resected using an arthroscopic posterior trans-septal approach.
- The patient experienced no recurrence and returned to her previous activity level post-procedure.
Implications:
- The posterior trans-septal approach is an effective surgical option for medial meniscal cysts.
- This minimally invasive technique can lead to successful outcomes and patient recovery.

