1/126. magnetic resonance imaging diagnosis, sonographically directed percutaneous aspiration, and arthroscopic treatment of a painful shoulder ganglion cyst associated with a SLAP lesion.A 30-year-old, right-handed man presented with the insidious onset of right shoulder pain associated with overhead activities. magnetic resonance imaging revealed a perilabral ganglion cyst associated with a SLAP lesion (lesion of the superior labrum, both anterior and posterior). After unsuccessful treatment with sonographically directed percutaneous aspiration of the cyst, arthroscopic techniques were employed to intra-articularly decompress the cyst and stabilize the labral tear.- - - - - - - - - - ranking = 1keywords = pain (Clic here for more details about this article) |
2/126. The fourth-compartment syndrome: its anatomical basis and clinical cases.We propose a new term, the "fourth-compartment syndrome" to describe chronic dorsal wrist pain of the fourth compartment. Five main causes responsible for this syndrome are thought to be as follows: 1. Ganglion involvement, including an occult ganglion; 2. Extensor digitorum brevis manus muscle; 3. Abnormal extensor indicis muscle; 4. Tenosynovialitis; 5. Anomaly or deformity of carpal bones. Should the above mentioned conditions occur in the fourth compartment, pressure within the fourth compartment increases, ultimately compressing the posterior interosseous nerve directly or indirectly. Anatomical studies of the fourth compartment of the wrist and the posterior interosseous nerve are presented and the fourth-compartment syndrome is summarized with twelve clinical cases (six cases of occult ganglions, two cases of extensor digitorum brevis manus, two cases of tenosynovialitis, one case of abnormal extensor indicis muscle, and one case of carpal bossing).- - - - - - - - - - ranking = 0.2keywords = pain (Clic here for more details about this article) |
3/126. Mucoid cystic degeneration of the cruciate ligament.A 35-year-old man was seen with pain in the back of the knee. MRI showed a mass in the anterior cruciate ligament. biopsy indicated mucoid degeneration. Arthroscopic resection of the ligament was carried out, with relief of symptoms.- - - - - - - - - - ranking = 0.25057840135983keywords = pain, back (Clic here for more details about this article) |
4/126. Suprascapular neuropathy related to a glenohumeral joint cyst.A man with shoulder pain and complaints of weakness had examination findings consistent with a suprascapular neuropathy with predominant involvement of the infraspinatus muscle. Electrodiagnostic studies confirmed an axon-loss suprascapular neuropathy with greater involvement of the infraspinatus muscle. magnetic resonance imaging (MRI) demonstrated a large ganglion cyst originating from the glenohumeral joint. The clinical, electrodiagnostic, and radiologic evaluation of suprascapular neuropathy is discussed.- - - - - - - - - - ranking = 0.2keywords = pain (Clic here for more details about this article) |
5/126. Paralabral cyst: an unusual cause of quadrilateral space syndrome.A paralabral cyst arising from a detached inferior glenoid labral tear was shown by magnetic resonance imaging (MRI) to dissect into the quadrilateral space, resulting in a compressive neuropathy of the axillary nerve. Three consecutive MRI examinations were performed over a 5-year period in a 47-year-old man with a long history of worsening shoulder pain. The MRI examinations revealed a slowly enlarging paralabral cyst extending into the quadrilateral space with progressive atrophy of the teres minor muscle.- - - - - - - - - - ranking = 0.2keywords = pain (Clic here for more details about this article) |
6/126. Case report ganglion cysts of the bilateral cruciate ligaments.ganglion cysts originating from the cruciate ligaments have been reported rarely. A 38-year-old woman developed symptoms of knee pain with 10 degrees loss of knee extension. Preoperative magnetic resonance imaging showed a well-demarcated cystic mass surrounding the posterior cruciate ligament so clearly that further examination was not recommended. Because examination under anesthesia confirmed full extension of the knee, we presumed that pain produced by compression caused the diminished extension, and that mechanical block was not the reason. During arthroscopic examination, a mass was impinged between the anterior cruciate ligament and the intercondylar notch when extension of the knee was attempted. The mass was resected and immediate improvement was noted. The patient had experienced the same episode in the contralateral knee and removal of a ganglion cyst on the cruciate ligament 10 years ago. At the latest follow-up she was completely symptom free in both knees without any sign of recurrence.- - - - - - - - - - ranking = 0.4keywords = pain (Clic here for more details about this article) |
7/126. Recurrent synovial cyst of deep soft tissues. A case report.BACKGROUND: Cystic lesions of deep soft tissues are rare and usually are composed of a mesenchymal tumor undergoing necrosis or regressive changes. Benign cysts arising de novo are even more rare and may show features of different morphology, potentially leading to an inexact diagnosis. CASE: A 68-year-old male presented with a deep, firm mass in the upper part of the back from which a dense liquid was aspirated, with an inconclusive diagnosis. A second fine needle aspiration was performed, and the lesion was surgically biopsied. Immunohistochemical studies were also inconclusive, while ultrastructural studies suggested an origin in the synovia of the scapular bursa. CONCLUSION: The cytologic picture was suspicious for malignancy due to the presence of numerous pseudopapillary structures, reminding us of a secondary deposit from a renal or thyroid primary or mesenchymal neoplasm. However, the bland nuclear aspect suggested the benignity of the lesion, and the electron microscopic features confirmed the synovial origin.- - - - - - - - - - ranking = 0.050578401359828keywords = back (Clic here for more details about this article) |
8/126. The quadriceps tendon cyst: an uncommon cause of chronic anterior knee pain.The causes of knee pain are manifold. One of the uncommon causes of chronic anterior knee pain are cysts and ganglia. magnetic resonance imaging not only reveals the intra-articular pathology but also accurately depicts such cystic structures about the knee. As part of this case report, a cyst of the lateral border of the quadriceps tendon is presented as a cause of such discomfort. Although cystic lesions around the knee are a common clinical problem, the described location is rare. After surgical revision of the lateral border of the quadriceps tendon and excision of the cyst, the patient was found to be asymptomatic.- - - - - - - - - - ranking = 1.2keywords = pain (Clic here for more details about this article) |
9/126. Pelvic synovial cyst formation secondary to perforation of the quadrilateral plate: a case report.A seventy seven-year-old female presented to her gynaecologist with right-sided pelvic pain and irregular per vaginal bleeding. Ten years earlier she had undergone a right cementless total hip arthroplasty. The press fit acetabular component had been augmented by screws. Radiological investigation requested by her gynaecologist identified a right iliac fossa mass. This communicated with the hip joint via a screw track formed by a fixation screw that had penetrated the medial wall of the acetabulum at total hip arthroplasty. Following aspiration of the fluid within the cyst, microscopy demonstrated it to be of synovial origin. Her symptoms subsequently resolved. This condition has not been reported previously.- - - - - - - - - - ranking = 0.2keywords = pain (Clic here for more details about this article) |
10/126. Lumbar spinal synovial cyst presenting with neurological deficit. A case report and review of the literature.A spinal synovial cyst is a rare condition. We reported a case of lumbar spinal synovial cyst presenting neurological deficit. A 78-year-old woman was admitted to our hospital with the low back pain radiating to the left buttock. A myelography with computed tomography and magnetic resonance imaging revealed an extradural cystic lesion at the L5 and S1 level. At the time of surgery, a standard posterior approach was used to expose the posterior elements from L5 to S1. An en bloc laminectomy and total removal of the cyst was performed at the L5 to S1 level. The postoperative recovery was uneventful except for a slight pain in the left leg which persisted for some time.- - - - - - - - - - ranking = 1.0741743433517keywords = back pain, pain, back (Clic here for more details about this article) |
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