Ultrasound-Guided Intralesional Methylene Blue Injection for the Arthroscopic Decompression of Spinoglenoid Notch Cyst Causing Suprascapular Neuropathy

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2020 Dec 9

PMID 33294341

Citations 2

Authors

Kadir Buyukdogan

Burak Altintas

Ozgur Koyuncu

Ilker Eren

Olgar Birsel

Michael Fox

Mehmet Demirhan

Affiliations

Soon will be listed here.

Abstract

Symptomatic spinoglenoid ganglion cyst is a rare cause of shoulder pain and disability. Surgical treatment, which may be considered after failed nonoperative treatment, includes open or arthroscopic cyst debridement. Arthroscopic treatment is less invasive and has the advantage of addressing intraarticular pathologies; however, exposure of the cyst may be deemed difficult. Furthermore, the suprascapular nerve is susceptible to iatrogenic injury owing to its close proximity to the posterior glenoid rim. The purpose of this article is to present our technique for arthroscopic spinoglenoid cyst decompression after preoperative ultrasound-guided methylene blue injection.

Citing Articles

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References

Schroeder A, Bedeir Y, Schumaier A, Desai V, Grawe B . Arthroscopic Management of SLAP Lesions With Concomitant Spinoglenoid Notch Ganglion Cysts: A Systematic Review Comparing Repair Alone to Repair With Decompression. Arthroscopy. 2018; 34(7):2247-2253. DOI: 10.1016/j.arthro.2018.01.031. View

Westerheide K, Karzel R . Ganglion cysts of the shoulder: technique of arthroscopic decompression and fixation of associated type II superior labral anterior to posterior lesions. Orthop Clin North Am. 2004; 34(4):521-8. DOI: 10.1016/s0030-5898(03)00102-0. View

Tung G, Entzian D, Stern J, Green A . MR imaging and MR arthrography of paraglenoid labral cysts. AJR Am J Roentgenol. 2000; 174(6):1707-15. DOI: 10.2214/ajr.174.6.1741707. View

Schroder C, Lundgreen K, Kvakestad R . Paralabral cysts of the shoulder treated with isolated labral repair: effect on pain and radiologic findings. J Shoulder Elbow Surg. 2018; 27(7):1283-1289. DOI: 10.1016/j.jse.2017.12.022. View

Mall N, Hammond J, Lenart B, Enriquez D, Twigg S, Nicholson G . Suprascapular nerve entrapment isolated to the spinoglenoid notch: surgical technique and results of open decompression. J Shoulder Elbow Surg. 2013; 22(11):e1-8. DOI: 10.1016/j.jse.2013.03.009. View

Bigliani L, Dalsey R, McCann P, April E . An anatomical study of the suprascapular nerve. Arthroscopy. 1990; 6(4):301-5. DOI: 10.1016/0749-8063(90)90060-q. View

Altintas B, Pitta R, Fritz E, Higgins B, Millett P . Technique for Type IV SLAP Lesion Repair. Arthrosc Tech. 2018; 7(4):e337-e342. PMC: 5981853. DOI: 10.1016/j.eats.2017.10.004. View

Demirhan M, Imhoff A, Debski R, Patel P, Fu F, Woo S . The spinoglenoid ligament and its relationship to the suprascapular nerve. J Shoulder Elbow Surg. 1998; 7(3):238-43. DOI: 10.1016/s1058-2746(98)90051-9. View

Iannotti J, Ramsey M . Arthroscopic decompression of a ganglion cyst causing suprascapular nerve compression. Arthroscopy. 1996; 12(6):739-45. DOI: 10.1016/s0749-8063(96)90180-2. View

10.

Jeong J, Panchal K, Park S, Kim Y, Lee J, Lee J . Outcome After Arthroscopic Decompression of Inferior Labral Cysts Combined With Labral Repair. Arthroscopy. 2015; 31(6):1060-8. DOI: 10.1016/j.arthro.2015.01.008. View

11.

Zehetgruber H, Noske H, Lang T, Wurnig C . Suprascapular nerve entrapment. A meta-analysis. Int Orthop. 2002; 26(6):339-43. PMC: 3620977. DOI: 10.1007/s00264-002-0392-y. View

12.

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

13.

Ghodadra N, Nho S, Verma N, Reiff S, Piasecki D, Provencher M . Arthroscopic decompression of the suprascapular nerve at the spinoglenoid notch and suprascapular notch through the subacromial space. Arthroscopy. 2009; 25(4):439-45. DOI: 10.1016/j.arthro.2008.10.024. View

14.

Lichtenberg S, Magosch P, Habermeyer P . Compression of the suprascapular nerve by a ganglion cyst of the spinoglenoid notch: the arthroscopic solution. Knee Surg Sports Traumatol Arthrosc. 2003; 12(1):72-9. DOI: 10.1007/s00167-003-0443-y. View

15.

Warner J, Krushell R, Masquelet A, Gerber C . Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am. 1992; 74(1):36-45. View

16.

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

17.

Boykin R, Friedman D, Higgins L, Warner J . Suprascapular neuropathy. J Bone Joint Surg Am. 2010; 92(13):2348-64. DOI: 10.2106/JBJS.I.01743. View