SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case report

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...

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Main Authors: Bryan Y Tan, Lee KT
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2012-11-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://morthoj.org/2012/v6n3/SLAP-lesion-with-supraglenoid-labral-cyst.pdf
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author Bryan Y Tan
Lee KT
author_facet Bryan Y Tan
Lee KT
author_sort Bryan Y Tan
collection DOAJ
description 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.
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spelling doaj.art-e50aaa5eea7d4b969f8dc82d6bb9d1b92022-12-21T23:22:45ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332012-11-01634648http://dx.doi.org/10.5704/MOJ.1211.012SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case reportBryan Y Tan0Lee KT1MBBS (S’pore)FRCS Orth (Ed)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.http://morthoj.org/2012/v6n3/SLAP-lesion-with-supraglenoid-labral-cyst.pdfSLAP lesionSupraglenoid Labral CystSupracapular Nerve Compression
spellingShingle Bryan Y Tan
Lee KT
SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case report
Malaysian Orthopaedic Journal
SLAP lesion
Supraglenoid Labral Cyst
Supracapular Nerve Compression
title SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case report
title_full SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case report
title_fullStr SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case report
title_full_unstemmed SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case report
title_short SLAP Lesion with Supraglenoid Labral Cyst causing Suprascapular Nerve Compression: A case report
title_sort slap lesion with supraglenoid labral cyst causing suprascapular nerve compression a case report
topic SLAP lesion
Supraglenoid Labral Cyst
Supracapular Nerve Compression
url http://morthoj.org/2012/v6n3/SLAP-lesion-with-supraglenoid-labral-cyst.pdf
work_keys_str_mv AT bryanytan slaplesionwithsupraglenoidlabralcystcausingsuprascapularnervecompressionacasereport
AT leekt slaplesionwithsupraglenoidlabralcystcausingsuprascapularnervecompressionacasereport