1/6. 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 = ganglion (Clic here for more details about this article) |
2/6. shoulder pain in a child: a case presentation of ganglioneuroblastoma.A four and one-half year-old child presented with a several month history of shoulder pain. Her workup revealed a large, homogeneous tumor in the apex of the chest. Surgical resection was performed demonstrating ganglioneuroblastoma. This case illustrates an unusual cause of joint discomfort in children.- - - - - - - - - - ranking = 1keywords = ganglion (Clic here for more details about this article) |
3/6. Schwannoma of the suprascapular nerve presenting with atypical neuralgia: case report and review of the literature.Compressive lesions of the suprascapular nerve produce weakness and atrophy of the supra- and infraspinatus muscles and a poorly defined aching pain along the posterior aspect of the shoulder joint and the adjacent scapula. Entrapment neuropathy of the suprascapular nerve is fairly common whereas tumorous lesions are rare; among the latter ganglion cysts are frequently seen. An isolated solitary schwannoma of the suprascapular nerve presenting with atypical neuralgic pain is exceptional. The location of a schwannoma under the firm deep cervical fascia in the posterior triangle of the neck is implicated in the genesis of neuralgic pains mimicking the suprascapular entrapment syndrome. One such case is reported with discussion of the relevant clinical features.- - - - - - - - - - ranking = 0.2keywords = ganglion (Clic here for more details about this article) |
4/6. Enlarged spinoglenoid notch veins causing suprascapular nerve compression.OBJECTIVE: To report the magnetic resonance (MR) imaging findings of enlarged veins in the spinoglenoid notch as a cause of suprascapular nerve compression. DESIGN AND patients: Six patients presented to MR imaging for evaluation of chronic shoulder pain. Clinical information and MR imaging studies were reviewed. The spinoglenoid notch vascular structures were compared with measurements made in 10 age-matched controls. RESULTS: Spinoglenoid notch vascular structures measured in 10 asymptomatic age-matched control patients ranged from 1 to 4 mm in diameter with an average of 2.2 mm. The six study patients had vascular structures that ranged from 6 to 10 mm in diameter with an average of 8.4 mm. atrophy and fatty infiltration of the infraspinatus muscle was noted as an associated finding at MR imaging in all six patients. Surgery was performed in three of the six patients, at which time a venous varix was identified in the spinoglenoid notch in all three patients. CONCLUSION: We describe distended veins in the spinoglenoid notch. These may be readily apparent at MR imaging and should be distinguished from paralabral ganglion cysts compressing the suprascapular nerve in the absence of labral tears, especially if percutaneous aspiration of a ganglion cyst is entertained.- - - - - - - - - - ranking = 0.4keywords = ganglion (Clic here for more details about this article) |
5/6. Suprascapular nerve entrapment secondary to a lipoma.Many causes of suprascapular nerve entrapment have been described including a small spinoglenoid notch, a tight ligament, boney spurs, and ganglion cysts. In the current patient, suprascapular nerve entrapment was caused by a lipoma in the suprascapular notch. The patient presented with painful shoulder motion that could have been attributed to rotator cuff and acromioclavicular joint disease. However, magnetic resonance imaging and electromyography were consistent with suprascapular nerve entrapment. Treatment of the rotator cuff disease and excision of the lipoma led to resolution of the patient's symptoms. This case is presented as an unusual cause of suprascapular nerve entrapment with a review of its course and anatomy.- - - - - - - - - - ranking = 0.2keywords = ganglion (Clic here for more details about this article) |
6/6. Intraneural ganglion of the suprascapular nerve: case report.We present a case of multicystic ganglion of the suprascapular nerve in an 18-year-old man. Pain and shoulder weakness were present and examination showed weakness and atrophy of the supraspinatus and infraspinatus muscles. electromyography showed severe denervation of the infraspinatus and supraspinatus muscles. At surgery a multicystic lesion of the suprascapular nerve extending approximately 5.7 cm from its origin was resected and reconstructed by sural nerve grafting. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic, Level V.- - - - - - - - - - ranking = 1keywords = ganglion (Clic here for more details about this article) |