Ultrasound Guided Aspiration of Lateral Parameniscal Cysts Causing Iliotibial Band Friction Syndrome

Sara Zafar¹, Asma Ashraf², M. Yasin Ashraf*³, Farkhanda Asad², Shagufta Perveen¹, M. Amir Zafar¹ and Andleeb Shahzadi⁴

Received: September 29, 2018;   Published: October 04, 2018

DOI: 10.26717/BJSTR.2018.09.001830

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Abstract

The purpose of this article is to provide an overview of parameniscal cyst pathology, diagnosis, and treatment. The article will discuss both established treatment modalities and a novel technique for treatment of parameniscal cysts in patients with concomittant Iliotibial Band Friction Syndrome. In this method, operators scan using a high-frequency linear ultrasound transducer with the scan plane corresponding to the anatomic coronal plane. They then place a 25-gauge needle along the anterolateral margin of the lateral meniscus for aspiration of the parameniscal cyst. Next, clinicians inject a standardized therapeutic mixture of anesthetic and long-acting corticosteroid into the undersurface of the adjacent iliotibial band. Distention of the bursa is the determining factor for a successful injection. Ultrasound allows confirmation of correct injection placement, resulting in increased accuracy and improved patient.

Keywords: Ultrasound Guided Aspiration; Ultrasound Guided Injection; Knee Ultrasound; Lateral Parameniscal Cyst; Iliotibial Band Friction Syndrome

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