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📌 Semimembranosus-Gastrocnemius Bursa: Baker Cyst
- "Baker’s cyst" is a misnomer; it is a fluid distension of the gastrocnemius-semimembranosus bursa, occasionally communicating with the knee joint.
- A valvular mechanism allows unidirectional joint fluid flow into the bursa.
✅ Etiology and Associated Conditions
Baker’s cysts, also known as popliteal cysts, are often incidental MRI findings. They are linked to:
- Osteoarthritis
- Trauma
- Rheumatoid arthritis
- Gout
- Systemic lupus erythematosus
- Juvenile rheumatoid arthritis
✅ MRI Characteristics
- Well-defined unilocular or multilocular cystic masses between the semimembranosus tendon and the medial gastrocnemius head.
- Fluid signal in all sequences. Complications (hemorrhage, rupture, loose bodies) can cause a heterogeneous appearance.
- increased signal in infected or hemorrhagic cysts on T1WI
- High signal intensity edema dispersing into adjacent tissues on fat-suppressed T2-weighted images.
References
Insights Imaging (2013) 4:257–272
"Visualizing MSK Radiology: A Practical Guide to Radiology Mastery"
© 2022 MSK MRI Jee Eun Lee All Rights Reserved.
No unauthorized reproduction, redistribution, or use for AI training.
#BakersCyst, #PoplitealCyst, #KneeMRI, #SynovialCyst, #KneeDisorders, #Osteoarthritis, #RheumatoidArthritis, #Gout, #KneeTrauma, #Radiology
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