Abstract

The incidence of meniscal cysts varies in reports from 1 to 20, and they are much more common laterally. They usually present as joint line pain, swelling, or both in young adult males and are often associated with meniscal tears. The diagnosis is often suspected clinically and can be evaluated by arthrogram, computed tomography, or magnetic resonance imaging when necessary. Conservative treatment is recommended in the patient with few symptoms. Should the cyst become significantly symptomatic, it is necessary to treat the meniscal pathology to prevent a cyst recurrence. The authors recommend arthroscopically resecting the meniscus back to normal meniscus and either aspirating and injecting the cyst or local cystic excision if the aspiration and injection fails. If no meniscal tear is documented at arthroscopy, exploration and excision of the cyst is recommended. Verf.-Referat