Hashiuchi Tomohisa, Sakurai Goro, Sawai Koichi, Komei Tatsuya, Shimaya Masataka, Takakura Yoshinori, Kumai Tsukasa, Tanaka Yasuhito
Department of Orthopaedic Surgery, Nishinara Central Hospital, 5-2-6 Hyakurakuen, Nara City, 631-0024, Japan.
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan.
J Med Ultrason (2001). 2013 Oct;40(4):475-81. doi: 10.1007/s10396-013-0452-5. Epub 2013 May 15.
A cyst arising in the scapular supraspinous fossa may cause shoulder pain; subsequently, enlargement of the cyst may result in severe compression of the adjacent suprascapular nerve, leading to muscle weakness and sensory disorder. Decompression of the nerve through cyst removal is effective in resolving these symptoms. However, treatment can also be performed less invasively through arthroscopy. Insertion of an arthroscope without visual guidance could cause tissue damage and, consequently, would become an invasive procedure itself. The use of ultrasonography to guide the scope to the cyst decreases the invasiveness of the procedure. Here, we present the case of a patient with a cyst arising in the scapular supraspinous fossa, in whom we could relatively readily and safely observe the cyst by advancing an arthroscope under ultrasonographic guidance. The suprascapular nerve was decompressed via cyst removal.
肩胛冈上窝出现的囊肿可能会引起肩部疼痛；随后，囊肿增大可能会导致相邻的肩胛上神经受到严重压迫，从而导致肌肉无力和感觉障碍。通过切除囊肿来解除神经压迫对于缓解这些症状是有效的。然而，也可以通过关节镜检查进行侵入性较小的治疗。在没有视觉引导的情况下插入关节镜可能会造成组织损伤，因此，这本身就会成为一种侵入性手术。使用超声引导关节镜到达囊肿可以降低手术的侵入性。在此，我们报告一例肩胛冈上窝出现囊肿的患者，在超声引导下推进关节镜，我们能够相对轻松且安全地观察到囊肿。通过切除囊肿解除了肩胛上神经的压迫。
