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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Three Year Old Not Able To Walk Due To A Mass Behind The Knee. Baker's Cyst Diagnosed. In It A Common Disease?

Three year old grandson cannot walk on his left leg. We took him to the dr and they did an xray and said there is a mass behind the knee and it is most likely a bakers cyst but it had a little bit of speckling so we are getting an mri . How common is a bakers cyst in a 3 yr old and what would speckling be? We had blood work done and all is good.
Tue, 26 Mar 2013
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Pediatrician 's  Response
Dear sir,
A Baker's cyst is a pocket of gelatinous fluid that forms a lump behind the knee. It is also called a popliteal cyst.
Such cysts are commonly seen in children and are different than in adults.
They are usually asymptomatic, and are not related to serious joint abnormality.. Spontaneous resolution usually occurs, although the process can take several years.
The diagnosis may be confirmed by ultrasonography (to differentiate a solid mass from a cystic lesion) or aspiration.
In most cases, these cysts should be left alone, as they often resolve spontaneously.
Surgical removal of a popliteal cyst is indicated only when symptoms are severe and limiting and have not resolved after several months.
Getting an MRI done will confirm the diagnosis & will also rule out any serious pathology that might be presenting as baker's cyst.
Hope this information is helpful .
Wishing a speedy confirmation of diagnosis for your grandson.
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Three Year Old Not Able To Walk Due To A Mass Behind The Knee. Baker's Cyst Diagnosed. In It A Common Disease?

Dear sir, A Baker s cyst is a pocket of gelatinous fluid that forms a lump behind the knee. It is also called a popliteal cyst. Such cysts are commonly seen in children and are different than in adults. They are usually asymptomatic, and are not related to serious joint abnormality.. Spontaneous resolution usually occurs, although the process can take several years. The diagnosis may be confirmed by ultrasonography (to differentiate a solid mass from a cystic lesion) or aspiration. In most cases, these cysts should be left alone, as they often resolve spontaneously. Surgical removal of a popliteal cyst is indicated only when symptoms are severe and limiting and have not resolved after several months. Getting an MRI done will confirm the diagnosis & will also rule out any serious pathology that might be presenting as baker s cyst. Hope this information is helpful . Wishing a speedy confirmation of diagnosis for your grandson.