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Próxima Reunião Científica da Regional Litoral
 
Data: 05 de setembro 2014
Local: Centro de Eventos ACM
 
Temas: Doenças Ortopédicas Infantis que podem tirar o ortopedista da Cama
           
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XIX Congresso Sulbrasileiro de Ortopedia e Traumatologoia
 
Local: Florianópolis/SC
Data: 30/04 a 02/05 de 2015
Site: www.sulbra2015.com.br

 
 
 

Candidatos ao governo debatem segurança no trânsito

Data: 03 de setembro
Local: Faculdade Anhanguera - São José/SC
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XIX Congresso Sulbrasileiro de Ortopedia e Traumatologoia
 
Local: Florianópolis/SC
Data: 30/04 a 02/05 de 2015
Site: www.sulbra2015.com.br
 
 

Atualização Científica

 
 
  

Artigo Sugerido

 
COPYRIGHT  2008 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED

 

 
Treatment of Labral Tears with Associated
Spinoglenoid Cysts without Cyst Decompression

 

By Cecilie P. Schroder, MD, Oystein Skare, PT, Morten Stiris, MD, Erling Gjengedal, MD,
Gisle Uppheim, MD, and Jens Ivar Brox, MD, PhD

Investigation performed at the Department of Orthopaedic Surgery, Lovisenberg Deaconal Hospital,
and the Department of Radiology, Aker University Hospital, Oslo, Norway
 
Background: The treatment of symptomatic spinoglenoid cysts has varied from observation, needle aspiration, and open excision to arthroscopic decompression. The purpose of the present study was to prospectively assess whether labral repair alone would lead to cyst resolution and pain relief.
Methods: Forty-two patients with a posterosuperior labral tear and a ganglion cyst at the spinoglenoid notch were treated with arthroscopic d´ebridement of the glenoid rim and labral repair, either with a resorbable tack or a suture anchor. Patients ranged in age from twenty-three to sixty-eight years. Seven patients had clinical and/or radiographic evidence of atrophy of the infraspinatus muscle; one had atrophy of both the infraspinatus and the teres minor muscles, while two had atrophy of the teres minor muscle. All patients had postoperative magnetic resonance imaging performed twice, at an average of fifteen months and again at an average of forty-three months postoperatively. The clinical outcome, including the Rowe score, was assessed for all patients at a median of forty-three months postoperatively.
Results: In thirty-seven (88%) of the forty-two patients, the cysts had resolved completely. In five patients, a cyst was still present but with a clear reduction in size. These five patients had remission of pain and were satisfied with the shoulder function. Three patients with preoperative muscular atrophy without fatty infiltration regained normal appearing muscle, while the seven with preoperative fatty changes continued to demonstrate those changes postoperatively. The median Rowe score improved from 61.5 points preoperatively to 98.0 points at the time of follow-up. Thirty-one patients assessed the result of treatment as excellent; nine, as good; and two, as fair.
Conclusions: Most spinoglenoid cysts resolve, and patient satisfaction can be expected to be high after labral fixation without cyst decompression.
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