{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:46:16Z","timestamp":1790419576096,"version":"4.1.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,5,5]],"date-time":"2015-05-05T00:00:00Z","timestamp":1430784000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this study was to determine the efficacy of ultrasound-guided aspiration, fenestration, and injection as a treatment in patients with symptomatic popliteal cysts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Ultrasound-guided aspiration, fenestration, and injection (UGAFI) is an effective and safe treatment option for symptomatic popliteal cysts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who received a UGAFI of popliteal cysts from 2008 to 2011 were identified. Preaspiration (PA) and follow-up Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, cyst recurrence, complications, cyst complexity, and size were obtained and compared for statistical significance. UGAFI involved aspiration of fluid through a spinal needle, fenestration of the cyst walls and septations, and injection of 1 mL (40 mg) triamcinolone (Kenalog) and 2 mL 0.5% bupivacaine (Sensorcaine) into the decompressed remnant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean PA WOMAC score (48.55) improved significantly at final follow-up (FFU) to 17.15 ( P &lt; 0.0001) for 47 patients. Within the WOMAC subcategories, there was also a significant difference in pain (PA, 10.68; FFU, 3.94; P &lt; 0.0001), stiffness (PA, 4.51; FFU, 1.77; P &lt; 0.0001), and physical function (PA, 31.34; FFU, 12.17; P &lt; 0.0001). There were 6 reaspirations for recurrence (12.7%), and 1 patient underwent unicompartmental knee arthroplasty. There were no infections or other complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Significant clinical improvement in patients with symptomatic popliteal cysts can be achieved via UGAFI as the sole treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>UGAFI is a safe and effective option as the sole treatment modality for symptomatic popliteal cysts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1941738115585520","type":"journal-article","created":{"date-parts":[[2015,5,5]],"date-time":"2015-05-05T22:41:34Z","timestamp":1430865694000},"page":"409-414","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Treatment of Popliteal (Baker) Cysts With Ultrasound-Guided Aspiration, Fenestration, and Injection"],"prefix":"10.1177","volume":"7","author":[{"given":"Marvin K.","family":"Smith","sequence":"first","affiliation":[{"name":"UHealth Sports Performance and Wellness Institute, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryson","family":"Lesniak","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Baraga","sequence":"additional","affiliation":[{"name":"UHealth Sports Performance and Wellness Institute, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Kaplan","sequence":"additional","affiliation":[{"name":"UHealth Sports Performance and Wellness Institute, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Jose","sequence":"additional","affiliation":[{"name":"UHealth Sports Performance and Wellness Institute, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,5,5]]},"reference":[{"key":"bibr1-1941738115585520","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.20210"},{"key":"bibr2-1941738115585520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.02.012"},{"key":"bibr3-1941738115585520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.07.050"},{"key":"bibr4-1941738115585520","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-011-1909-9"},{"key":"bibr5-1941738115585520","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199605000-00002"},{"key":"bibr6-1941738115585520","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2007.08.001"},{"key":"bibr7-1941738115585520","doi-asserted-by":"publisher","DOI":"10.1016\/j.rx.2010.07.004"},{"key":"bibr8-1941738115585520","first-page":"561","volume":"48","author":"Di Sante L","year":"2012","journal-title":"Eur J Phys Rehabil 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