A spinoglenoid cyst compressing on the suprascapular nerve causing supraspinatus and infraspinatus muscle weakness: A case report.

Arthroscopy Shoulder Spinoglenoid cyst

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
2020
Historique:
received: 01 12 2019
revised: 22 03 2020
accepted: 07 04 2020
pubmed: 2 6 2020
medline: 2 6 2020
entrez: 2 6 2020
Statut: ppublish

Résumé

Spinoglenoid cysts are a rare cause of suprascapular neuropathy of compressive etiology in which the patient may present with shoulder pain and muscle hypotrophy. MRIs are the imaging modality of choice showing location, size, and extent of the lesion for preoperative assessment. Currently, surgical intervention is the preferred approach for the management of a spinoglenoid cyst with arthroscopy being favored over the open technique. A 25-year-old male patient presenting with right posterior shoulder pain and decreased range of motion associated with the development of progressive weakness of the supraspinatus and infraspinatus muscles. Right shoulder MRI showed a posterior tear of the glenoid labrum and a spinoglenoid ganglion cyst. Preoperative electroneuromyography was suggestive of a suprascapular nerve impairment. Six months postoperatively, the patient has regained full range of motion of his right shoulder with no residue signs of muscle hypotrophy. Spinoglenoid cysts can cause compressive neuropathy with associated pain and muscle hypotrophy. MRI and EMG can help in establishing the diagnosis and in the pre-operative assessment. Surgical intervention with arthroscopy is currently the technique preferred by most surgeons.

Identifiants

pubmed: 32480335
pii: S2210-2612(20)30193-0
doi: 10.1016/j.ijscr.2020.04.001
pmc: PMC7264009
pii:
doi:

Types de publication

Case Reports

Langues

eng

Pagination

266-269

Informations de copyright

Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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Auteurs

Joseph Maalouly (J)

Department of Orthopedic Surgery and Traumatology Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut, 1100 2807, Lebanon; St Georges University Medical Center, Beirut, Achrafieh, St Georges Street, Lebanon. Electronic address: Josephmaalouly2@gmail.com.

Dany Aouad (D)

Department of Orthopedic Surgery and Traumatology Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut, 1100 2807, Lebanon; St Georges University Medical Center, Beirut, Achrafieh, St Georges Street, Lebanon. Electronic address: Dany_aouad@hotmail.com.

Antonios Tawk (A)

Department of Orthopedic Surgery and Traumatology Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut, 1100 2807, Lebanon; St Georges University Medical Center, Beirut, Achrafieh, St Georges Street, Lebanon. Electronic address: Antoniostawk@gmail.com.

Georges El Rassi (G)

Department of Orthopedic Surgery and Traumatology Saint Georges University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut, 1100 2807, Lebanon; St Georges University Medical Center, Beirut, Achrafieh, St Georges Street, Lebanon. Electronic address: georgeelrassi@hotmail.com.

Classifications MeSH