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Type 2 Superior Labral Anterior to Posterior Lesion-Related Paralabral Cyst Causing Isolated Infraspinatus Paralysis: Two Case Reports

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주제분류재활의학

초록

Type 2 superior labral anterior to posterior (SLAP) lesion is a common cause of shoulder pain requiring surgical operation. SLAP tears are often associated with paralabral cysts, but they rarely cause nerve compression. However, we experienced two cases of type 2 SLAP-related paralabral cysts at the spinoglenoid notch which were confirmed as isolated nerve entrapment of the infraspinatus branch of the suprascapular nerve by electrodiagnostic assessment and magnetic resonance imaging. In these pathological conditions, comprehensive electrodiagnostic evaluation is warranted for confirmation of neuropathy, while surgical decompression of the paralabral cyst combined with SLAP repair is recommended.

Abstract

Type 2 superior labral anterior to posterior (SLAP) lesion is a common cause of shoulder pain requiring surgical operation. SLAP tears are often associated with paralabral cysts, but they rarely cause nerve compression. However, we experienced two cases of type 2 SLAP-related paralabral cysts at the spinoglenoid notch which were confirmed as isolated nerve entrapment of the infraspinatus branch of the suprascapular nerve by electrodiagnostic assessment and magnetic resonance imaging. In these pathological conditions, comprehensive electrodiagnostic evaluation is warranted for confirmation of neuropathy, while surgical decompression of the paralabral cyst combined with SLAP repair is recommended.

참고문헌 (9)

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  3. Chen AL, "Arthroscopic management of spinoglenoid cysts associated with SLAP lesions and suprascapular neuropathy", Arthroscopy, 19, pp.E15~E21 (2003)
  4. Cummins CA, "Suprascapular nerve entrapment", J Bone Joint Surg Am, 82, pp.415~424 (2000)
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  6. Tirman PF, "Association of glenoid labral cysts with labral tears and glenohumeral instability: radiologic findings and clinical significance", Radiology, 190, pp.653~658 (1994)
  7. Piatt BE, "Clinical evaluation and treatment of spinoglenoid notch ganglion cysts", J Shoulder Elbow Surg, 11, pp.600~604 (2002)
  8. Kim DS, "Ganglion cyst of the spinoglenoid notch: comparison between SLAP repair alone and SLAP repair with cyst decompression", J Shoulder Elbow Surg, 21, pp.1456~1463 (2012)
  9. Pillai G, "Greater strength increase with cyst decompression and SLAP repair than SLAP repair alone", Clin Orthop Relat Res, 469, pp.1056~1060 (2011)

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