Md Yusoff Badrul Akmal Hisham, Ramlan Muhamad Karbela Reza, Mohd Don Ahmad Farihan, Muhammed Ali Noor Muhammad Ilyaas, Mohamad Norlelawati
Orthopaedic and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Sports Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus. 2023 Jan 12;15(1):e33726. doi: 10.7759/cureus.33726. eCollection 2023 Jan.
A ganglion cyst is a benign cystic lesion that can occur intraosseously. It is commonly a multiloculated lesion that consists of fibrous tissue with mucoid change and is usually located in the subchondral bone adjacent to the joint. Here, we present a rare case of a 33-year-old woman who presented to our orthopedic clinic with a five-year history of shoulder pain that gradually worsened. The pain was worst after any activity involving the right shoulder, and it also occurred at night and disturbed her sleep. Physical examination showed that the patient had limitations on the extreme range of movement. MRI revealed a subchondral bone cyst at the glenoid fossa. The ganglion cyst was subsequently curetted and packed with a bone graft from the iliac bone. Postoperatively, the pain resolved and the patient's range of movement improved. At the six-month follow-up, new bone formation over the void area caused by the cyst was observed on MRI.
腱鞘囊肿是一种可发生于骨内的良性囊性病变。它通常是一种多房性病变，由伴有黏液样变的纤维组织构成，通常位于关节附近的软骨下骨。在此，我们报告一例罕见病例，一名33岁女性因右肩疼痛5年且逐渐加重前来我们的骨科门诊就诊。任何涉及右肩的活动后疼痛最为严重，夜间也会发作并影响她的睡眠。体格检查显示患者在最大活动范围上存在受限。磁共振成像（MRI）显示肩胛盂窝有一个软骨下骨囊肿。随后对腱鞘囊肿进行了刮除，并填入取自髂骨的骨移植材料。术后，疼痛缓解，患者的活动范围得到改善。在6个月的随访中，MRI观察到囊肿所致空洞区域有新骨形成。
