Document Detail


Suprascapular nerve palsy secondary to spinoglenoid cysts: results of arthroscopic treatment.
MedLine Citation:
PMID:  16843807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to investigate the results of arthroscopic treatment in 14 patients with suprascapular nerve palsy secondary to spinoglenoid ganglion cysts. METHODS: Fourteen patients underwent arthroscopic decompression of ganglion cysts associated with suprascapular neuropathy. The most common presenting symptoms were pain and weakness, which lasted an average of 7.5 months. Ten of 14 patients were noted on examination to have atrophy, and all 14 patients had weakness of the infraspinatus. Magnetic resonance imaging (MRI) showed spinoglenoid ganglion cysts in all 14 patients; average cyst size was 3 cm. MRI revealed labral pathology in 12 of 14 cases; labral pathology was identified intraoperatively in all 14 patients. RESULTS: Postoperatively, the average Simple Shoulder Test (SST) score was 11.5 (12 maximum), which was improved from an estimated preoperative score of 4.3. Improvement in external rotation strength was seen in 100% of patients who were examined postoperatively. No patients were taking pain medicine at latest follow-up. No complications were reported, and there were no clinical or symptomatic recurrences at an average follow-up of 51 months. CONCLUSIONS: Arthroscopic treatment of patients with spinoglenoid ganglion cysts is safe and effective, resulting in good clinical outcomes. In our study of 14 patients, no recurrences were seen at an average of 51 months of follow-up. Level of Evidence: Level IV, therapeutic case series. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
Authors:
Kenneth J Westerheide; Ryan M Dopirak; Ronald P Karzel; Stephen J Snyder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  22     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-17     Completed Date:  2006-08-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  721-7     Citation Subset:  IM    
Affiliation:
Mount Carmel Health System, Columbus, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthroscopy*
Ganglion Cysts / complications*,  diagnosis,  surgery*
Humans
Magnetic Resonance Imaging
Middle Aged
Nerve Compression Syndromes / etiology*
Paralysis / etiology*
Patient Satisfaction
Range of Motion, Articular
Retrospective Studies
Rotation
Scapula / innervation*
Shoulder*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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