For tendon pain behind the knee, which occurs very commonly in elderly patients, it is usually seen in the following conditions, most commonly in elderly patients with osteoarthritis, popliteal cysts in the popliteal fossa, or free bodies. Another possibility is injury to the posterior horn of the meniscus. In elderly patients, degeneration of the knee joint occurs with age-related factors, including damage to the cartilage, varying degrees of wear and tear of the meniscus, and the formation of a tendon cyst in the popliteal fossa, with various factors causing irritation of the nerves in the posterior popliteal area and producing soreness and pain. Diagnosis can be aided by MRI and X-rays, which can show in planes whether there is a free body in the posterior popliteal fossa, and MRI can help clarify posterior meniscal horn damage and whether there are cysts in the popliteal fossa. For all of these diseases, minimally invasive arthroscopic surgery can be used, but of course, if their joint degeneration is so severe that serious cartilage damage is beyond repair, knee replacement therapy is preferable.
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