Matsuzawa Gaku, Hatta Taku, Asano Shigeyuki, Takahashi Masaki, Aizawa Toshitake
Department of Orthopaedic Surgery, Iwaki City Medical Center, Iwaki, JPN.
Department of Orthopaedic Surgery, Tome Citizen Hospital, Tome, JPN.
Cureus. 2024 Nov 30;16(11):e74863. doi: 10.7759/cureus.74863. eCollection 2024 Nov.
Suprascapular nerve entrapment caused by intraosseous cystic lesions is a rare condition. We present the case of a 49-year-old man with right shoulder numbness, slight infraspinatus (ISP) weakness, and shoulder pain. He underwent open surgery and arthroscopic evaluation. The cystic lesion, histologically diagnosed as a ganglion, was resected, and the bony defect was filled with artificial bone. Immediately after the operation, the shoulder numbness and muscle weakness resolved. At the one-year follow-up, the patient's right shoulder pain disappeared, and he had excellent clinical results. An intraosseous cyst protruding into the spinoglenoid notch, causing suprascapular nerve entrapment, might elicit neurological symptoms and glenoid fracture. However, the treatment and clinical course of this condition are still unknown. This case suggests that patients treated with tumor resection and bone grafting to the bony defect in this abnormality may have favorable outcomes.
骨内囊性病变导致的肩胛上神经卡压是一种罕见疾病。我们报告一例49岁男性患者,其出现右肩部麻木、冈下肌(ISP)轻度无力及肩部疼痛。他接受了开放手术及关节镜评估。组织学诊断为腱鞘囊肿的囊性病变被切除,骨缺损用人工骨填充。术后肩部麻木和肌肉无力立即缓解。在一年的随访中,患者右肩部疼痛消失,临床效果极佳。一个向肩胛下切迹突出并导致肩胛上神经卡压的骨内囊肿可能引发神经症状和关节盂骨折。然而,这种疾病的治疗方法和临床过程仍不明确。该病例表明,针对这种异常情况采用肿瘤切除及骨缺损植骨治疗的患者可能会有良好的预后。