Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- protuberância poplítea
- dor no joelho
- edema dos membros inferiores
- sensibilidade à palpação da panturrilha
Outros fatores diagnósticos
- equimose da panturrilha
Fatores de risco
- trauma da articulação do joelho
- artrite ou sinovite subjacente do joelho
- infecção subjacente da articulação do joelho
- idade mais avançada
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- ultrassonografia duplex da perna
Investigações a serem consideradas
- RNM da perna
- TC da perna
- radiografia do joelho
Algoritmo de tratamento
assintomático
sintomático: tratamento inicial
sintomático: refratário ao tratamento conservador inicial
Colaboradores
Autores
John D. Kelly IV, MD
Professor of Clinical Orthopaedic Surgery
Director of Sports Shoulder Service
Orthopaedic Surgery
University of Pennsylvania
Philadelphia
PA
Divulgaciones
JDK declares that he has no competing interests.
Agradecimientos
Dr John D. Kelly IV would like to gratefully acknowledge Dr Antonios P. Gasparis and Dr Nicos Labropoulos, previous contributors to this topic.
Divulgaciones
APG declares that he has no competing interests. NL is the author of multiple references cited in this topic.
Revisores por pares
Brian Sabb, DO
Clinical Lecturer II
Orthopedic Radiologist
Department of Radiology
University of Michigan Medical Center
Ann Arbor
MI
Divulgaciones
BS declares that he has no competing interests.
Hill Gaston, MA, PhD, BM BCh, FRCP, FMedSci
Professor of Rheumatology
University of Cambridge
Clinical Director
West Anglia CLRN
Cambridge
UK
Divulgaciones
HG declares that he has no competing interests.
Richard Wakefield, BM, MRCP, MD
Senior Lecturer in Rheumatology
Academic Section of Musculoskeletal Disease
Leeds Institute of Molecular Medicine
Chapel Allerton Hospital
Leeds
UK
Divulgaciones
RW declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referencias
Artículos principales
Labropoulos N, Shifrin DA, Paxinos O. New insights into the development of popliteal cysts. Br J Surg. 2004;91:1313-1318. Resumen
Chatzopoulos D, Moralidis E, Markou P, et al. Baker's cysts in knees with chronic osteoarthritic pain: a clinical, ultrasonographic, radiographic and scintigraphic evaluation. Rheumatol Int. 2008 Dec;29(2):141-6. Resumen
American College of Radiology. ACR appropriateness criteria: chronic knee pain. 2018 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Trombose venosa profunda (TVP)
- Hematoma poplíteo
- Laceração do músculo poplíteo
Más DiferencialesGuías de práctica clínica
- Appropriateness criteria: chronic knee pain
Más Guías de práctica clínicaInicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad