Ağrılı Diz Bulgusuyla Sunulan Kistik Lezyonların Radyolojik Değerlendirilmesi

Amaç: Ağrılı diz; ayakta tedavi edilen hastalarda yaygın bir durumdur. Ağrılı dizin en yaygın nedeni künt travma olmasına rağmen bir çok travmatik olmayan kistik lezyonlarda ağrılı dize aracılık eder. Böyle durumların yönetimi için öncelikle doğru teşhis gereklidir. Klinik inceleme çoğu zaman ağrılı dize aracılık eden kistik lezyonlara sahip hastalarda doğru teşhis açısından tek başına yeterli olmaz. Bu notkada görüntülemenin önemi ortaya çıkar. Bu çalışma ağrılı dize aracılık eden kistik lezyonların kesin nedenini belirleyebilmede görüntülemenin nasıl yardımcı olabileceğini göstermek ve böylece doğru yönledirmeyi sunmak içindi. Materyal ve Method: Ağrılı diz şikayeti olan 50 hasta, ağrılı dize neden olan kistik lezyonların hangi durumlarda yaygın olduğunu göstermek için radyolojik olarak değerlendirildi. Bulgular bu tanımlayıcı çalışmada kaydedildi. Bulgular: 26 hastanın ağrılı dize neden olan kistik lezyonlara sahip olduğu bulundu. Popliteal kist 12 vakada görülmüş olup en yaygın lezyon olarak kaydedildi. İnfrapatellar bursan iltihaplanması yanı sıra suprapatellar bursan iltihaplanması 3 vakada gözlendi. Menisküs kist ise 8 vakada gözlendi. Sonuç: Ağrılı diz; bir çok diz kistik lezyonların semptomu olabilir. Ultrason kistik anomaliliği gösterebilir, manyetik rezonans görüntüleme ise daha kapsamlı olarak bütün herşeyi gösterebilir.

Anahtar Kelimeler:

Ağrılı Diz, Kistik Lezyonlar, MRI, Ultrason

Radiological Evaluation of Cystic Lesions Presenting as Painful Knee

Purpose: Painful knee is a common clinical scenario in any outpatient clinic. Although, the commonest cause of painful knee is blunt trauma, many non traumatic cystic lesions too present as painful knee. For appropriate management of these conditions, a correct diagnosis is required. Clinical examination alone is often not sufficient to reach the exact diagnosis in patients with underlying cystic lesions manifesting as painful knee. Here comes the role of imaging. This study was therefore undertaken to evaluate how imaging can help in pinpointing the exact cause of cystic lesion presenting as painful knee and therefore assist in proper management. Material and Methods: 50 consecutive patients with painful knee as the presenting complaint were radiologically evaluated for assessing how common are cystic lesions as the cause of knee pain. The findings were then noted in this descriptive study. Results: 26 patients were found to have an underlying cystic lesion as the cause of painful knee. Popliteal cyst was the commonest lesion and was seen in 12 cases. Suprapatellar bursitis as well as infrapatellar bursitis was seen in 3 cases each. Meniscal cyst was seen in 8 cases. Conclusion:Painful knee can be a presenting symptom of many cystic lesions of knee. Ultrasound can show the cystic abnormality, but it is only the Magnetic Resonance Imaging which can demonstrate the complete entity.

Keywords:

Painful Knee; MRI; Ultrasound; Cystic Lesions,

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Yazışma Adresi / Address for Correspondence: Dr. Sushil Ghanshyam Kachewar Rural Medical College PIMS (DU), Loni, Ta-Rahata, Ahmednagar Maharashtra, İNDİA Email: sushilkachewar@hotmail.com G eliş tarihi/Received on: 03.01.2014
Kabul tarihi/Accepted on:31.01.2014