Alpha 2.0
Login Register
» Articles » PMID: 25279076

SLAP Lesion with Supraglenoid Labral Cyst Causing Suprascapular Nerve Compression: A Case Report

Overview
Journal Malays Orthop J
Specialty Orthopedics
Date 2014 Oct 4
PMID 25279076
Citations 3
Authors
Bryan Y Tan
Kt Lee
Affiliations
Soon will be listed here.
Abstract

Abstract: We present a case of left suprascapular nerve palsy in a 39- year-old female secondary to compression from a large ganglion cyst. She presented with a two month history of left posterior shoulder pain which affected her work and disturbed her sleep. Clinical examination revealed a positive O'Brien's test. Supraspinatus and infraspinatus strength was mildly weakened. A magnetic resonance imaging (MRI) scan of the left shoulder revealed a superior labral anterior to posterior (SLAP) lesion with a large supraglenoid labral cyst extending posteriorly to the spinoglenoid notch, resulting in compression of the suprascapular nerve. Arthroscopy revealed the SLAP lesion with a haemorrhagic labral cyst at the posterosuperior aspect. Arthroscopic decompression of the cyst and SLAP repair with two suture anchors was performed. At 22 months postoperative follow-up, the patient's left shoulder remained asymptomatic with full range of motion and full strength.

Key Words: SLAP lesion; Supraglenoid Labral Cyst; Suprascapular Nerve Compression.

Citing Articles

Clinical Outcomes Following Arthroscopic Decompression and Repair versus Repair Alone in Patients with a Concomitant Spinoglenoid Cyst and SLAP Lesion: A Systematic Review.

Kim D, Sohn H, Kim J, Cho C Diagnostics (Basel). 2023; 13(14).

PMID: 37510107 PMC: 10378101. DOI: 10.3390/diagnostics13142364.

Isolated Infraspinatous Atrophy from a Spinoglenoid Cyst: A Case Report.

Gomez D, Zulkahini N, Ahmad A, Solayar G Malays Orthop J. 2022; 16(1):142-145.

PMID: 35519528 PMC: 9017913. DOI: 10.5704/MOJ.2203.024.

Arthroscopic management of suprascapular neuropathy of the shoulder improves pain and functional outcomes with minimal complication rates.

Memon M, Kay J, Ginsberg L, Simunovic N, Bak K, Lapner P Knee Surg Sports Traumatol Arthrosc. 2017; 26(1):240-266.

PMID: 28879607 DOI: 10.1007/s00167-017-4694-4.

References
1.
Fritz R, Helms C, Steinbach L, Genant H . Suprascapular nerve entrapment: evaluation with MR imaging. Radiology. 1992; 182(2):437-44. DOI: 10.1148/radiology.182.2.1732962. View
2.
Cummins C, Messer T, Nuber G . Suprascapular nerve entrapment. J Bone Joint Surg Am. 2000; 82(3):415-24. DOI: 10.2106/00004623-200003000-00013. View
3.
Piatt B, Hawkins R, Fritz R, Ho C, Wolf E, Schickendantz M . Clinical evaluation and treatment of spinoglenoid notch ganglion cysts. J Shoulder Elbow Surg. 2002; 11(6):600-4. DOI: 10.1067/mse.2002.127094. View
4.
Schroder C, Skare O, Stiris M, Gjengedal E, Uppheim G, Brox J . Treatment of labral tears with associated spinoglenoid cysts without cyst decompression. J Bone Joint Surg Am. 2008; 90(3):523-30. DOI: 10.2106/JBJS.F.01534. View
5.
Tirman P, Feller J, Janzen D, Peterfy C, Bergman A . Association of glenoid labral cysts with labral tears and glenohumeral instability: radiologic findings and clinical significance. Radiology. 1994; 190(3):653-8. DOI: 10.1148/radiology.190.3.8115605. View