McCreesh Karen M, Riley Sara J, Crotty James M
Dept of Clinical Therapies, University of Limerick, Limerick, Ireland.
Academic Unit of Diagnostic Imaging, School of Healthcare, University of Leeds, Leeds, UK.
Man Ther. 2014 Oct;19(5):490-3. doi: 10.1016/j.math.2013.11.004. Epub 2013 Nov 23.
This case report describes a patient with an acromio-clavicular joint (ACJ) cyst, associated with a complete tear of the supraspinatus tendon, and the related arthropathy. Ultrasound was a suitable imaging modality to make the diagnosis, and rule out other pathologies. Full assessment of the rotator cuff must be carried out in the presence of ACJ cysts due to their common co-existence with large cuff tears. Cyst aspiration is not a suitable treatment, due to the high likelihood of recurrence. Optimal treatment requires management of the underlying rotator cuff tear.
本病例报告描述了一名患有肩锁关节（ACJ）囊肿、伴有冈上肌腱完全撕裂及相关关节病的患者。超声是做出诊断并排除其他病变的合适影像学检查方法。由于肩锁关节囊肿常与大型肩袖撕裂并存，因此在存在肩锁关节囊肿的情况下，必须对肩袖进行全面评估。由于复发可能性高，囊肿抽吸不是合适的治疗方法。最佳治疗需要处理潜在的肩袖撕裂。
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