clinical features

Last reviewed 01/2018

In children it is an incidental finding and usually parents note the painless mass in the popliteal area (1). Adults may complain of a swelling, a mass, pain, or stiffness which worsen by activity (2). In a study which observed 82 patients with surgically treated cysts

  • a mass was the main concern in 68 patients
  • local aching was seen in 46 patients
  • stiffness was present in 13 patients
  • swelling was present in 9 patients (2)

The swelling seen in popliteal cyst

  • is present at the medial aspect of the popliteal area
  • is round, smooth, fluctuant, trans-illuminates and is often tender
  • increases in tension on extension of the knee and soften or disappear when the knee is flexed to 45 degrees - (Foucher's sign) (2)

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