{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:27Z","timestamp":1787755527473,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Cases:<\/jats:title>\n                    <jats:p>This case report describes 3 pediatric patients presenting with acute calf or knee pain, calf swelling, and a ruptured popliteal cyst diagnosed by magnetic resonance imaging. Lyme disease was serologically confirmed in each case. In all instances, treatment was delayed because of atypical presentation. All patients responded favorably after antibiotic therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The differential diagnosis of Lyme disease should be considered in the context of children presenting with atraumatic unilateral calf pain and a ruptured popliteal cyst. Otherwise, this unusual presentation could delay diagnosis or result in unnecessary surgical intervention, particularly in pediatric patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00813","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T14:03:55Z","timestamp":1646316235000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Pediatric Lyme Disease Presenting as a Ruptured Popliteal Cyst"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5598-7039","authenticated-orcid":false,"given":"Alora F.","family":"Sager","sequence":"first","affiliation":[{"name":"University of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick L.","family":"Carolan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Emergency Medicine, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3624-8273","authenticated-orcid":false,"given":"Andrew G.","family":"Georgiadis","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Gillette Children's Specialty Healthcare, St. Paul, Minnesota"},{"name":"Department of Orthopaedic Surgery, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4884-1787","authenticated-orcid":false,"given":"Jennifer C.","family":"Laine","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Gillette Children's Specialty Healthcare, St. Paul, Minnesota"},{"name":"Department of Orthopaedic Surgery, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1]]},"reference":[{"issue":"5","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/S0196-0644(87)80696-0","article-title":"Popliteal cysts in a pediatric patient","volume":"16","author":"Soslow","year":"1987","journal-title":"Ann Emerg Med."},{"issue":"6","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"S135","DOI":"10.29271\/jcpsp.2018.06.S135","article-title":"Ruptured baker's cyst in a 15-year old boy","volume":"28","author":"Jawaid","year":"2018","journal-title":"J Coll Physicians Surg Pak."},{"issue":"6","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1097\/01.bpo.0000242430.91489.fd","article-title":"Lyme disease presenting as popliteal cyst in children","volume":"26","author":"Magee","year":"2006","journal-title":"J Pediatr 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antinuclear antibodies as the presentation of lyme disease","volume":"34","author":"Steelman","year":"2015","journal-title":"Pediatr Infect Dis J."},{"issue":"3","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1007\/s00431-005-0028-5","article-title":"Uncommon synovial cysts in children","volume":"165","author":"Roth","year":"2006","journal-title":"Eur J Pediatr."},{"issue":"1","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/00124743-199602000-00002","article-title":"Pseudothrombophlebitis complicating childhood lyme arthritis","volume":"2","author":"Bittar","year":"1996","journal-title":"J Clin Rheumatol."},{"issue":"5","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.1097\/PEC.0000000000001826","article-title":"An interesting presentation of lymepseudothrombophlebitis","volume":"35","author":"Sandelich","year":"2019","journal-title":"Pediatr Emerg Care."}],"container-title":["JBJS Case 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