SLAP repair with arthroscopic decompression of spinoglenoid cyst
Introduction: A spinoglenoid cyst with suprascapular nerve disorders is highly associated with superior labrum anterior posterior (SLAP) lesion. Conservative or surgical treatment is applied to relieve pain and neurological symptoms. The purpose of this study was to evaluate clinical outcomes of pat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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EDP Sciences
2016-01-01
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| Series: | SICOT-J |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1051/sicotj/2015036 |
| _version_ | 1818918944076988416 |
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| author | Hashiguchi Hiroshi Iwashita Satoshi Ohkubo Atsushi Takai Shinro |
| author_facet | Hashiguchi Hiroshi Iwashita Satoshi Ohkubo Atsushi Takai Shinro |
| author_sort | Hashiguchi Hiroshi |
| collection | DOAJ |
| description | Introduction: A spinoglenoid cyst with suprascapular nerve disorders is highly associated with superior labrum anterior posterior (SLAP) lesion. Conservative or surgical treatment is applied to relieve pain and neurological symptoms. The purpose of this study was to evaluate clinical outcomes of patients treated by arthroscopic surgery for SLAP lesion with a spinoglenoid cyst.
Methods: The subjects of this study were six patients with SLAP lesion with a spinoglenoid cyst who underwent arthroscopic surgery. There was one female and five males with a mean age of 48.5 years. SLAP lesion was found in all the patients at arthroscopy. A small tear of the rotator cuff was found in the two patients. The SLAP lesion was repaired using suture anchors, and the rotator cuff tears were repaired by suture-bridge fixation. The spinoglenoid cyst was decompressed through the torn labrum in three patients, and through the released superior to posterior portion of the capsule in the other three patients.
Results: All patients showed excellent improvement in pain and muscle strength at the final follow-up examination. The mean Constant score was improved from 60.5 points preoperatively to 97.2 points postoperatively. The mean visual analog scale (VAS) score decreased from 4.5 on the day of the surgery to 2.5 within one week postoperatively. Postoperative MRI showed disappearance or reduction of the spinoglenoid cyst in four and two patients, respectively. There were no complications from the surgical intervention and in the postoperative period.
Discussion: The patients treated by decompression through the released capsule obtained pain relief at an early period after the surgery. Arthroscopic treatment for a spinoglenoid cyst can provide a satisfactory clinical outcome. Arthroscopic decompression of a spinoglenoid cyst through the released capsule is recommended for a safe and reliable procedure for patients with suprascapular nerve disorders. |
| first_indexed | 2024-12-20T00:58:00Z |
| format | Article |
| id | doaj.art-dcf3a543fedb427a8771dcd4f5a3b326 |
| institution | Directory Open Access Journal |
| issn | 2426-8887 |
| language | English |
| last_indexed | 2024-12-20T00:58:00Z |
| publishDate | 2016-01-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | SICOT-J |
| spelling | doaj.art-dcf3a543fedb427a8771dcd4f5a3b3262022-12-21T19:59:04ZengEDP SciencesSICOT-J2426-88872016-01-012110.1051/sicotj/2015036sicotj150119SLAP repair with arthroscopic decompression of spinoglenoid cystHashiguchi HiroshiIwashita SatoshiOhkubo AtsushiTakai ShinroIntroduction: A spinoglenoid cyst with suprascapular nerve disorders is highly associated with superior labrum anterior posterior (SLAP) lesion. Conservative or surgical treatment is applied to relieve pain and neurological symptoms. The purpose of this study was to evaluate clinical outcomes of patients treated by arthroscopic surgery for SLAP lesion with a spinoglenoid cyst. Methods: The subjects of this study were six patients with SLAP lesion with a spinoglenoid cyst who underwent arthroscopic surgery. There was one female and five males with a mean age of 48.5 years. SLAP lesion was found in all the patients at arthroscopy. A small tear of the rotator cuff was found in the two patients. The SLAP lesion was repaired using suture anchors, and the rotator cuff tears were repaired by suture-bridge fixation. The spinoglenoid cyst was decompressed through the torn labrum in three patients, and through the released superior to posterior portion of the capsule in the other three patients. Results: All patients showed excellent improvement in pain and muscle strength at the final follow-up examination. The mean Constant score was improved from 60.5 points preoperatively to 97.2 points postoperatively. The mean visual analog scale (VAS) score decreased from 4.5 on the day of the surgery to 2.5 within one week postoperatively. Postoperative MRI showed disappearance or reduction of the spinoglenoid cyst in four and two patients, respectively. There were no complications from the surgical intervention and in the postoperative period. Discussion: The patients treated by decompression through the released capsule obtained pain relief at an early period after the surgery. Arthroscopic treatment for a spinoglenoid cyst can provide a satisfactory clinical outcome. Arthroscopic decompression of a spinoglenoid cyst through the released capsule is recommended for a safe and reliable procedure for patients with suprascapular nerve disorders.http://dx.doi.org/10.1051/sicotj/2015036Spinoglenoid cystSuprascapular nerveArthroscopic decompressionLabral tearSLAP repair |
| spellingShingle | Hashiguchi Hiroshi Iwashita Satoshi Ohkubo Atsushi Takai Shinro SLAP repair with arthroscopic decompression of spinoglenoid cyst SICOT-J Spinoglenoid cyst Suprascapular nerve Arthroscopic decompression Labral tear SLAP repair |
| title | SLAP repair with arthroscopic decompression of spinoglenoid cyst |
| title_full | SLAP repair with arthroscopic decompression of spinoglenoid cyst |
| title_fullStr | SLAP repair with arthroscopic decompression of spinoglenoid cyst |
| title_full_unstemmed | SLAP repair with arthroscopic decompression of spinoglenoid cyst |
| title_short | SLAP repair with arthroscopic decompression of spinoglenoid cyst |
| title_sort | slap repair with arthroscopic decompression of spinoglenoid cyst |
| topic | Spinoglenoid cyst Suprascapular nerve Arthroscopic decompression Labral tear SLAP repair |
| url | http://dx.doi.org/10.1051/sicotj/2015036 |
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