Synovial cysts of the knee: CT evaluation.

Abstract
Of 8 patients with synovial cysts about the knee who were studied by computed tomography (CT), 6 had cysts in atypical locations (4 medical and 2 anterior). Knee arthrography, performed on 5 patients, demonstrated the cyst in only 2 cases. In all patients CT defined the location and the extent of the cyst, demonstrating the following benign features: a well-defined homogeneous mass with attenuation values approximating that of H2O, preservation of adjacent soft-tissue planes and absence of bone involvement. CT is useful in the evaluation of a suspected synovial cyst when its position is atypical or when arthrography fails to demonstrate or completely delineate the cyst. CT provided diagnostic accuracy and determination of the optimal operative approach.

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