Alattas Rouya, Brinji Omer, Batouk Omar A
Department of Orthopedic Surgery, King Fahad General Hospital, Jeddah, SAU.
Department of Orthopedics/Surgery, Ministry of National Guard - Health Affairs, Jeddah, SAU.
Cureus. 2023 Mar 11;15(3):e36025. doi: 10.7759/cureus.36025. eCollection 2023 Mar.
Suprascapular nerve entrapment is an uncommon entity; it is usually missed as a differential diagnosis of shoulder pain, especially since the main presentation of this condition in patients is usually non-specific shoulder pain. It is often only considered when the patient presents with weakness and denervation of the supraspinatus and infraspinatus muscles. Diagnosis of spinoglenoid ganglion cysts is usually considered after other causes have been ruled out. They are usually detected on magnetic resonance imaging (MRI); however, this could be delayed and happens only after suprascapular nerve compression has already occurred and the patient's muscles have atrophied leading to limitations in their function. Treatment of spinoglenoid ganglion cysts should be tailored to each individual patient. Numerous treatment options are available and can range from conservative management to open decompression. The aim of our study was to highlight the clinical presentation of this condition by describing a case that we have diagnosed and managed at our center. We report a 29-year-old male who presented with dysfunctional left shoulder pain. The patient was diagnosed with a spinoglenoid ganglion cyst, which was treated successfully with open excision. The patient's condition improved following the procedure with a successful return to his daily activities.
肩胛上神经卡压是一种不常见的病症;它通常在作为肩痛的鉴别诊断时被漏诊,尤其是因为这种病症在患者中的主要表现通常是非特异性的肩痛。通常只有当患者出现冈上肌和冈下肌无力及失神经支配时才会考虑到该病。肩胛上神经囊肿的诊断通常在排除其他病因后才会考虑。它们通常在磁共振成像(MRI)上被检测到;然而,这可能会延迟,且只有在肩胛上神经已经受压且患者的肌肉已经萎缩导致功能受限之后才会发生。肩胛上神经囊肿的治疗应根据每个患者的情况进行定制。有多种治疗选择,范围从保守治疗到开放减压。我们研究的目的是通过描述我们中心诊断和治疗的一个病例来突出这种病症的临床表现。我们报告一名29岁男性,他出现左肩部功能障碍性疼痛。该患者被诊断为肩胛上神经囊肿,通过开放切除成功治疗。术后患者的病情有所改善,成功恢复了日常活动。