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Popliteal Cyst Excision Using Open Posterior Approach After Arthroscopic Partial Medial Meniscectomy
Nimrod Snir, M.D., Mathew Hamula, B.S., Theodore Wolfson, B.S.E., Orrin Sherman, M.D., Andrew Feldman, M.D. Arthroscopy Techniques Volume 2, Issue 3, Pages e295-e298 (August 2013) DOI: /j.eats Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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Fig 1 Magnetic resonance image of popliteal cyst including (A) sagittal view and (B) axial view showing communication with posteromedial joint cavity. Arthroscopy Techniques 2013 2, e295-e298DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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Fig 2 (A) The curvilinear incision (MI) should be centered over the popliteal cyst, between the medial hamstring tendons and medial head of the gastrocnemius muscle, and overlying the posterior joint line (JL). The popliteal neurovascular bundle (PNB) should be outlined and care taken not to cross the midline laterally so as to avoid risk of injury to these structures. (B) After exposure of the posterior retinaculum, an incision is made in line with the skin incision and the borders of the retinaculum are tagged with sutures for later closure. Arthroscopy Techniques 2013 2, e295-e298DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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Fig 3 (A) After decompression of the cyst, alternating blunt and sharp dissection proceeds from lateral to medial, exposing the stalk. (B) After excision of the cyst and stalk from the posterior joint capsule, surgical exposure is achieved with an Army-Navy retractor holding the medial head of the gastrocnemius muscle (MG) superiorly and an Army-Navy retractor holding the medial hamstring tendons (MHT) inferiorly. The tonsil clamp indicates where the stalk (S) was excised from the posterior capsule. Arthroscopy Techniques 2013 2, e295-e298DOI: ( /j.eats ) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions
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