Bussière J L, Zmantar C, Cauhape P, Soubrier M, Ristori J M
Service de Rhumatologie, CHRU Saint-Jacques, Clermont-Ferrand.
Rev Rhum Mal Osteoartic. 1992 Feb;59(2):145-8.
Synovial cysts of the shoulder are rare. The case described illustrates the particular problems encountered at this site. As at other joints, these cysts appear during arthropathies of various types: degenerative or inflammatory (rheumatoid arthritis). They are often associated with rupture of the rotator cuff. Their essential characteristic is an expansive and recurrent tendency which leads to striking giant swellings, capable of causing vascular compression. Treatment involves surgical excision. This suffices when the cyst does not communicate with the joint cavity. In contrast, when there is a breach in the capsule through which the cyst derives its synovial fluid supply, repair is necessary to prevent recurrence.
肩部滑膜囊肿较为罕见。所描述的病例说明了在该部位遇到的特殊问题。与其他关节一样，这些囊肿出现在各种类型的关节病中：退行性或炎症性（类风湿性关节炎）。它们常与肩袖破裂有关。其主要特征是具有扩张性和复发性倾向，可导致显著的巨大肿胀，进而引起血管受压。治疗方法为手术切除。当囊肿与关节腔不连通时，手术切除即可。相反，若囊肿通过关节囊的破损处获取滑液供应，则需要进行修复以防止复发。
