Baker's Cysts in Calcium Pyrophosphate Dihydrate Deposition Disease: A Musculoskeletal Ultrasound Study

戴 舜邦(Shun-Ban Tai), 盧 俊吉(Chun-Chi Lu), 陳 政宏(Chen-Hung Chen), 周 雨青(Yu-Ching Chou), 張 棋楨(Chi-Ching Chang)

Research output: Contribution to journalArticle

Abstract

To investigate the clinical presentation of Baker's cyst in patients with calcium pyrophosphate dehydrate (CPPD) calcifications of the knee, the most commonly affected site in CPPD deposition disease, with the use of high-resolution musculoskeletal ultrasound (MUS). This was a prospective clinical and MUS study conducted in 60 patients with CPPD deposition disease of the knee. The patients' synovial fluid was aspirated and examined for the identification of crystals. The relationships between the Baker's cyst and occurrence of joint effusion, synovitis, chondrocalcinosis, and osteophytes were analyzed. Baker's cysts were demonstrated by MUS in 17 (28.3%) of the 60 patients. Joint effusion was present in all 60 (100%) patients. In addition, 55 (91.7%) patients had synovitis, 11 (18.3%) had chondrocarcinosis, and 45 (75.0%) had osteophytes. There was no significant correlation between the occurrence of Baker's cyst and the occurrence of effusion, synovitis, chondrocarcinosis, and osteophytes (p>0.05). These results indicate that Baker's cysts are a common occurrence in patients with CPPD deposition disease, affecting 28% of this population and that they can be accompanied by joint effusion, synovitis, chondrocalcinosis, and osteophytes. Baker's cysts are easily missed on clinical examination without image guidance, but can be accurately identified with the use of MUS. Therefore, MUS should be more widely employed by clinicians in the diagnosis of Baker's cysts.
Original languageEnglish
Pages (from-to)281-287
Number of pages7
JournalJournal of Internal Medicine of Taiwan
Volume25
Issue number4
DOIs
Publication statusPublished - 2014

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Popliteal Cyst
Chondrocalcinosis
Osteophyte
Synovitis
Joints
Knee
Calcium Pyrophosphate
Synovial Fluid
Chondrocalcinosis 2

Keywords

  • Baker's cyst
  • Musculoskeletal ultrasound (MUS)
  • Calcium pyrophosphate dehydrate (CPPD)

Cite this

Baker's Cysts in Calcium Pyrophosphate Dihydrate Deposition Disease: A Musculoskeletal Ultrasound Study. / 戴舜邦(Shun-Ban Tai); 盧俊吉(Chun-Chi Lu); 陳政宏(Chen-Hung Chen); 周雨青(Yu-Ching Chou); 張棋楨(Chi-Ching Chang).

In: Journal of Internal Medicine of Taiwan, Vol. 25, No. 4, 2014, p. 281-287.

Research output: Contribution to journalArticle

戴舜邦(Shun-Ban Tai) ; 盧俊吉(Chun-Chi Lu) ; 陳政宏(Chen-Hung Chen) ; 周雨青(Yu-Ching Chou) ; 張棋楨(Chi-Ching Chang). / Baker's Cysts in Calcium Pyrophosphate Dihydrate Deposition Disease: A Musculoskeletal Ultrasound Study. In: Journal of Internal Medicine of Taiwan. 2014 ; Vol. 25, No. 4. pp. 281-287.
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abstract = "To investigate the clinical presentation of Baker's cyst in patients with calcium pyrophosphate dehydrate (CPPD) calcifications of the knee, the most commonly affected site in CPPD deposition disease, with the use of high-resolution musculoskeletal ultrasound (MUS). This was a prospective clinical and MUS study conducted in 60 patients with CPPD deposition disease of the knee. The patients' synovial fluid was aspirated and examined for the identification of crystals. The relationships between the Baker's cyst and occurrence of joint effusion, synovitis, chondrocalcinosis, and osteophytes were analyzed. Baker's cysts were demonstrated by MUS in 17 (28.3{\%}) of the 60 patients. Joint effusion was present in all 60 (100{\%}) patients. In addition, 55 (91.7{\%}) patients had synovitis, 11 (18.3{\%}) had chondrocarcinosis, and 45 (75.0{\%}) had osteophytes. There was no significant correlation between the occurrence of Baker's cyst and the occurrence of effusion, synovitis, chondrocarcinosis, and osteophytes (p>0.05). These results indicate that Baker's cysts are a common occurrence in patients with CPPD deposition disease, affecting 28{\%} of this population and that they can be accompanied by joint effusion, synovitis, chondrocalcinosis, and osteophytes. Baker's cysts are easily missed on clinical examination without image guidance, but can be accurately identified with the use of MUS. Therefore, MUS should be more widely employed by clinicians in the diagnosis of Baker's cysts.",
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AU - 盧, 俊吉(Chun-Chi Lu)

AU - 陳, 政宏(Chen-Hung Chen)

AU - 周, 雨青(Yu-Ching Chou)

AU - 張, 棋楨(Chi-Ching Chang)

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N2 - To investigate the clinical presentation of Baker's cyst in patients with calcium pyrophosphate dehydrate (CPPD) calcifications of the knee, the most commonly affected site in CPPD deposition disease, with the use of high-resolution musculoskeletal ultrasound (MUS). This was a prospective clinical and MUS study conducted in 60 patients with CPPD deposition disease of the knee. The patients' synovial fluid was aspirated and examined for the identification of crystals. The relationships between the Baker's cyst and occurrence of joint effusion, synovitis, chondrocalcinosis, and osteophytes were analyzed. Baker's cysts were demonstrated by MUS in 17 (28.3%) of the 60 patients. Joint effusion was present in all 60 (100%) patients. In addition, 55 (91.7%) patients had synovitis, 11 (18.3%) had chondrocarcinosis, and 45 (75.0%) had osteophytes. There was no significant correlation between the occurrence of Baker's cyst and the occurrence of effusion, synovitis, chondrocarcinosis, and osteophytes (p>0.05). These results indicate that Baker's cysts are a common occurrence in patients with CPPD deposition disease, affecting 28% of this population and that they can be accompanied by joint effusion, synovitis, chondrocalcinosis, and osteophytes. Baker's cysts are easily missed on clinical examination without image guidance, but can be accurately identified with the use of MUS. Therefore, MUS should be more widely employed by clinicians in the diagnosis of Baker's cysts.

AB - To investigate the clinical presentation of Baker's cyst in patients with calcium pyrophosphate dehydrate (CPPD) calcifications of the knee, the most commonly affected site in CPPD deposition disease, with the use of high-resolution musculoskeletal ultrasound (MUS). This was a prospective clinical and MUS study conducted in 60 patients with CPPD deposition disease of the knee. The patients' synovial fluid was aspirated and examined for the identification of crystals. The relationships between the Baker's cyst and occurrence of joint effusion, synovitis, chondrocalcinosis, and osteophytes were analyzed. Baker's cysts were demonstrated by MUS in 17 (28.3%) of the 60 patients. Joint effusion was present in all 60 (100%) patients. In addition, 55 (91.7%) patients had synovitis, 11 (18.3%) had chondrocarcinosis, and 45 (75.0%) had osteophytes. There was no significant correlation between the occurrence of Baker's cyst and the occurrence of effusion, synovitis, chondrocarcinosis, and osteophytes (p>0.05). These results indicate that Baker's cysts are a common occurrence in patients with CPPD deposition disease, affecting 28% of this population and that they can be accompanied by joint effusion, synovitis, chondrocalcinosis, and osteophytes. Baker's cysts are easily missed on clinical examination without image guidance, but can be accurately identified with the use of MUS. Therefore, MUS should be more widely employed by clinicians in the diagnosis of Baker's cysts.

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