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[滑膜囊肿对肩胛下神经在肩胛冈-关节盂切迹处的压迫]

[Compression of the subscapular nerve in the spino-glenoid tract by a synovial cyst].

作者信息

Daumas J L, Padovani B, Raffaelli C, Chanalet S, Baque M C, Isman H, Bruneton J N

机构信息

Service Central de Radiologie, Hôpital Pasteur, Nice.

出版信息

J Radiol. 1995 Jan;76(1):25-8.

PMID:7861365
Abstract

We observed a case of synovial cyst in the shoulder joint leading to spino-glenoid symptomatology in a weight-lifter. Explorations included standard radiography, echography and magnetic resonance imaging. Differentiation between a true cyst and a pseudo-cyst was basedose presence of a synovial membrane. Mechanical contraints appear to be the most frequently suspected aetiology of spinoglenoid cysts. Echography cannot always confirm the liquid nature of the formation due to the close bone. Magnetic resonance imaging gives good tissue characterization and good topographic analysis. Gadolinium injection appears to be important for differential diagnosis with neurogenic tumours.

摘要

我们观察到一例肩关节滑膜囊肿导致一名举重运动员出现肩胛上盂切迹综合征的病例。检查包括标准X线摄影、超声检查和磁共振成像。真性囊肿与假性囊肿的鉴别基于滑膜的存在。机械性压迫似乎是肩胛上盂切迹囊肿最常被怀疑的病因。由于囊肿与骨骼距离较近,超声检查并不总能确定肿物的液体性质。磁共振成像能提供良好的组织特征和地形分析。钆增强注射对与神经源性肿瘤的鉴别诊断似乎很重要。

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