Shoulder ganglion cysts in MRI: accompanying tendon pathologies and labral lesions

Year 2018, Volume: 5 Issue: 10, 331 - 336, 30.10.2018

Mehmet Hamdi Sahan

https://doi.org/10.17546/msd.458414

Abstract

Objective:  The aim of this study was to investigate shoulder tendon pathologies and labral lesions that accompanied with ganglion cysts on the shoulder via magnetic resonance imaging (MRI). Material and Methods: The 893 shoulder MRIs registered in our computer automation system were reviewed retrospectively between January 2014 and December 2018. Thirty-two patients who ganglion cysts observed in three different localizations in MRI were included to our study. Three group were defined as spinoglenoid notch (1st group), paralabral (2nd group), supra acromioclavicular joint (3rd group). The cases age, gender, clinical findings, localization, size and accompanying pathologies were classified. Rotator cuff tendons, the long head of the biceps tendon pathologies and labral lesions were examined. Results: A total of 32 patients were 16 males (mean age 49±15 years) and 16 females (mean age 54.7±14 years). Groups were consisted 15 cases in 1st group, 12 cases in 2nd group and 5 cases in 3rd group. In all groups with ganglion cysts, rotator cuff pathologies were frequently accompanied. There was no a significant difference between the groups in terms of rotator cuff pathologies (p>0.05). Entrapment neuropathy in group 1, the long head of the biceps tendon and labral lesions in group 2 were frequently associated. This association was statistically significant among the groups. Large-sized cysts were observed in group 3. There was a positive correlation between cyst size and the number of accompanying pathologies in the 1st and 2nd groups (r:0.582, p:0.001).  Conclusion: In symptomatic shoulder ganglion cysts, understanding ganglion cysts, knowing the pathologies accompanied with ganglion cysts may be useful for surgical plan of cases.

Keywords

Shoulder, ganglion cysts, rotator cuff, magnetic resonance imaging

References

• 1. Nikas S, Drosos AA. Painless shoulder mass. Joint Bone Spine. 2015;4(82):286.
• 2. Akman S, Gür B, Sülün T, Aksoy B. A case of a ganglion cyst originating from the hip joint and surgical outcome. Acta orthopaedica et traumatologica turcica. 2002;36(1):76-8.
• 3. Cummins CA, Messer TM, Nuber GW. Current concepts review-suprascapular nerve entrapment. JBJS. 2000;82(3):415-24.
• 4. Gül M, Özkaya U, Parmaksızoğlu A, Sökücü S, Kabukçuoğlu Y. Ganglion kisti ve neden olduğu düşük ayak olgusu-olgu sunumu. Şeh Tıp Bülteni. 2008;42:25-7.
• 5. Erginer R, Oğüt T, Seyahi A, Dervişoğlu S. Suprascapular nerve entrapment by a ganglion cyst: a case report. Acta orthopaedica et traumatologica turcica. 2003;37(1):73-8.
• 6. Ho JC, Iannotti JP. Glenoid labral tear associated paralabral ganglion cyst presenting as a neck mass: a case report. Journal of shoulder and elbow surgery. 2010;19(5):e10-e3.
• 7. Ji J-H, Shafi M, Lee Y, Kim D-J. Inferior paralabral ganglion cyst of the shoulder with labral tear-A rare cause of shoulder pain. Orthopaedics & Traumatology: Surgery & Research. 2012;98(2):193-8.
• 8. Sarman H, Celik M, Bala M. A rare cause of shoulder pain: Ganglion cyst of the acromioclavicular joint. Osteol Rheumatol Open J. 2016;1(1):20-2.
• 9. Seçkin MF, Kara A, Çelik H, Sönmez MM, Öztürk İ. Nadir görülen bir omuz ağrısı nedeni: Spinoglenoid çentikte ganglion kisti.
• 10. Terabayashi N, Fukuta M, Ito Y, Takigami I, Nishimoto Y, Shimizu K. Shoulder impingement syndrome due to a ganglion cyst below the coracoacromial ligament: a case report. JBJS. 2011;93(8):e36.
• 11. Tirman P, Feller JF, Janzen DL, Peterfy CG, Bergman AG. Association of glenoid labral cysts with labral tears and glenohumeral instability: radiologic findings and clinical significance. Radiology. 1994;190(3):653-8.
• 12. Prasad NK, Spinner RJ, Smith J, Howe BM, Amrami KK, Iannotti JP, et al. The successful arthroscopic treatment of suprascapular intraneural ganglion cysts. Neurosurgical focus. 2015;39(3):E11.
• 13. Hiller AD, Miller JD, Zeller JL. Acromioclavicular joint cyst formation. Clinical anatomy (New York, NY). 2010;23(2):145-52.
• 14. Singh RA, Hay BA, Hay SM. Management of a massive acromioclavicular joint cyst: the geyser sign revisited. Shoulder & Elbow. 2013;5(1):62-4.
• 15. Tanaka S, Gotoh M, Mitsui Y, Shirachi I, Okawa T, Higuchi F, et al. A Case Report of an Acromioclavicular Joint Ganglion Associated with a Rotator Cuff Tear. The Kurume medical journal. 2017;63(1.2):29-32.
• 16. Moore TP, Fritts HM, Quick DC, Buss DD. Suprascapular nerve entrapment caused by supraglenoid cyst compression. J Shoulder Elbow Surg. 1997;6(5):455-62.
• 17. Thompson RC, Jr., Schneider W, Kennedy T. Entrapment neuropathy of the inferior branch of the suprascapular nerve by ganglia. Clin Orthop Relat Res. 1982(166):185-7.
• 18. Wang YJ, Cui GQ. Arthroscopic excision of spinoglenoid notch cyst through two different approaches. Chin Med J (Engl). 2010;123(21):3154-6.
• 19. Kim DS, Park HK, Park JH, Yoon WS. Ganglion cyst of the spinoglenoid notch: comparison between SLAP repair alone and SLAP repair with cyst decompression. J Shoulder Elbow Surg. 2012;21(11):1456-63.
• 20. Piatt BE, Hawkins RJ, Fritz RC, Ho CP, Wolf E, Schickendantz M. Clinical evaluation and treatment of spinoglenoid notch ganglion cysts. J Shoulder Elbow Surg. 2002;11(6):600-4.
• 21. Thomazeau H, Raoul T, Herve A, Basselot F, Common H, Ropars M. Are spinoglenoid ganglion cysts early markers of glenohumeral arthritis? J Shoulder Elbow Surg. 2016;25(7):1051-5.
• 22. Westerheide KJ, Karzel RP. 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. 2003;34(4):521-8.