Piatt Bruce E, Hawkins Richard J, Fritz Russell C, Ho Charles P, Wolf Eugene, Schickendantz Mark
Steadman Hawkins Clinic, Vail, Colo 81657, USA.
J Shoulder Elbow Surg. 2002 Nov-Dec;11(6):600-4. doi: 10.1067/mse.2002.127094.
Spinoglenoid notch cysts were identified by magnetic resonance imaging in 73 patients. Posterosuperior labral tears were identified in 65 patients who had spinoglenoid notch cysts. Patient follow-up was available on 88% of patients at a mean of 20.5 months after treatment. There were 52 men and 11 women, with a mean age of 39 years (range, 19-76 years). All patients reported shoulder pain. Infraspinatus atrophy occurred in 25 patients, weakness with external rotation in 43, and posterior shoulder tenderness in 30. Nineteen patients underwent nonoperative management of the cyst (group I). Eleven underwent attempted needle aspiration of the cyst (group II). Six had isolated arthroscopic treatment of a labral defect with no cyst excision (group III). Twenty-seven were treated with surgical cyst excision with the cyst and superior labral tear fixed arthroscopically or with an open approach in various combinations (group IV). Of the patients, 53% were satisfied in group I, 64% in group II, 67% in group III, and 97% in group IV.
73例患者通过磁共振成像发现有肩胛下肌盂切迹囊肿。65例有肩胛下肌盂切迹囊肿的患者发现有后上盂唇撕裂。88%的患者获得随访，治疗后平均随访时间为20.5个月。患者中男性52例，女性11例，平均年龄39岁（范围19 - 76岁）。所有患者均有肩部疼痛。25例患者出现冈下肌萎缩，43例患者外旋无力，30例患者肩部后方压痛。19例患者对囊肿进行非手术治疗（I组）。11例患者尝试对囊肿进行穿刺抽吸（II组）。6例患者单纯行关节镜下盂唇缺损治疗，未切除囊肿（III组）。27例患者接受手术切除囊肿，并根据不同组合采用关节镜或开放手术修复囊肿及上盂唇撕裂（IV组）。I组患者满意度为53%，II组为64%，III组为67%，IV组为97%。
