Open AccessIsolated Infraspinatous Atrophy from a Spinoglenoid Cyst: A Case Report
Author(s) -
Deshan Gomez,
N F Zulkahini,
Abdul Rauf Ahmad,
Gandhi Nathan Solayar
Publication year - 2022
Publication title -
malaysian orthopaedic journal/malaysian orthopaedic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.271
H-Index - 6
eISSN - 2232-111X
pISSN - 1985-2533
DOI - 10.5704/moj.2203.024
Subject(s) - medicine , cyst , surgery , tears , atrophy , magnetic resonance imaging , arthroscopy , decompression , fibrous joint , rehabilitation , radiology , physical therapy , pathology
We present a case of a 26-year-old gentleman with isolated right infraspinatus atrophy arising from a spinoglenoid cyst of the right shoulder. He presented two years following his shoulder injury and failed conservative rehabilitation alone. At initial arthroscopic surgery, a superior labral anterior to posterior (SLAP) tear was diagnosed and the spinoglenoid cyst was debrided without formal labral repair. The patient's condition did not improve, and second arthroscopy was performed three months following the first with suture anchor repair of the labral tear and cyst decompression. Post-operative magnetic resonant imaging (MRI) scans showed complete resolution of the cyst and recovery of infraspinatus muscle bulk at six months. At final follow-up 18 months post SLAP repair, he has regained full shoulder function and has returned to recreational sports. Our case highlights the importance of proper management of SLAP tears in resolving spinoglenoid cysts by demonstrating the outcomes from two different surgical methods in the same patient.