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CT with intravenous contrast
1%
15/2352
Bone scan
0%
6/2352
Radical excision
12/2352
Arthroscopic resection
Observation
97%
2292/2352
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The description of the mass (soft and non-tender, in the posterior knee) in a young patient suggests that this is a popliteal, or Baker’s, cyst. The article by Dinham reviewed the natural history of 120 cases of popliteal cysts in children and reported that, of seventy untreated cysts, fifty-one disappeared spontaneously during a mean period of one year and eight months. The article also noted that those cysts which fail to regress spontaneously may respond to aspiration, but have a high recurrence rate. Given the lack of symptoms and the likelihood of resolution, observation is the first-line treatment for most popliteal cysts.
3.5
(26)
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