Ayman Mohammad Alswayeh
Introduction: Popliteal synovial cysts (Baker's cysts) are commonly encountered in both adults and children. Mostly, popliteal cysts are asymptomatic and are detected incidentally. The usual presentation of popliteal cysts is a swelling in the popliteal fossa slightly medial and distal to the center crease in the back of the knee. It is caused by enlargement of bursa between gastrocnemius and semimembranosus muscles. The aim of work: In this review, we will discuss the diagnosis and management of popliteal cysts in adult patients presenting to surgical consultation. Methodology: We have reviewed the medical literature databases for relevant studies in the past two decades until April 2020. All relevant full article were reviewed and included. Conclusion: Plain radiography and ultrasonography usually are the initial assessment modalities. Incidentally discovered cyst with no symptoms require no intervention. Arthrocentesis of the knee and intraarticular injection with glucocorticoids is the recommended initial step in management of symptomatic popliteal cysts in adult patient with or without calf involvement. Surgical excision may be need in few selective cases. Keywords: Baker’s cysts, popliteal cysts, popliteal swelling, and surgical diagnosis of popliteal swelling.