Acromio-clavicular joint cyst associated with a complete rotator cuff tear – A case report

McCreesh, Karen; Riley, Sara J.; Crotty, James M.

doi:10.1016/j.math.2013.11.004

Cited by 8 publications

(7 citation statements)

References 23 publications

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“…Acromioclavicular (AC) joint dislocations account for 9% of shoulder girdle injuries, with a higher incidence in athletes. 1 AC joint dislocations are mainly caused by direct trauma, for example, a blow to the lateral shoulder pushing the acromion away from the distal clavicle. 2 The AC ligament is affected first, and the effect is cascaded to the coracoclavicular (CC) ligament, and finally to the deltoid and trapezius fascia, with increasing severity.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Rockwood type III acromioclavicular joint dislocation using autogenous semitendinosus tendon graft and endobutton technique

Ye¹,

Peng²,

Sun³

et al. 2016

TCRM

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BackgroundThe aim of this study was to evaluate the therapeutic effect of autogenous semitendinosus graft and endobutton technique, and compare with hook plate in treatment of Rockwood type III acromioclavicular (AC) joint dislocation.MethodsFrom April 2012 to April 2013, we treated 46 patients with Rockwood type III AC joint dislocation. Patients were randomly divided into two groups: Group A was treated using a hook plate and Group B with autogenous semitendinosus graft and endobutton technique. All participants were followed up for 12 months. Radiographic examinations were performed every 2 months postoperatively, and clinical evaluation was performed using the Constant–Murley score at the last follow-up.ResultsResults indicated that patients in Group B showed higher mean scores (90.3±5.4) than Group A (80.4±11.5) in terms of Constant–Murley score (P=0.001). Group B patients scored higher in terms of pain (P=0.002), activities (P=0.02), range of motion (P<0.001), and strength (P=0.004). In Group A, moderate pain was reported by 2 (8.7%) and mild pain by 8 (34.8%) patients. Mild pain was reported by 1 (4.3%) patient in Group B. All patients in Group B maintained complete reduction, while 2 (8.7%) patients in Group A experienced partial reduction loss. Two patients (8.7%) encountered acromial osteolysis on latest radiographs, with moderate shoulder pain and limited range of motion.ConclusionAutogenous semitendinosus graft and endobutton technique showed better results compared with the hook plate method and exhibited advantages of fewer complications such as permanent pain and acromial osteolysis.

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Section: Introductionmentioning

confidence: 99%

Treatment of Rockwood type III acromioclavicular joint dislocation using autogenous semitendinosus tendon graft and endobutton technique

Ye¹,

Peng²,

Sun³

et al. 2016

TCRM

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“…In this review, 9 cases (15.8%) are ganglion cysts related to rotator cuff tear and 1 (1.7%) presented as an isolated ganglion with ACJ degeneration. 4,9,16,18,19,22,24,26,30,32 Regardless of the underlying pathology and mechanism, these cysts are located in the subcutaneous tissue. 29 We found only 3 studies (5.3%) that reported intramuscular extension of the cyst 19,31,34 and 1 (1.7%) describing it communicating with the epidermis.…”

Section: Discussionmentioning

confidence: 99%

“…In 1 case, there was a previous shoulder trauma on the affected side. [2][3][4][5][6][7]9,10,[12][13][14][16][17][18][19][20][21][22][23][24][25][27][28][29][30][31][32][33][34] Based on the patient's age, general condition, symptoms, and shoulder functionality, the treatment may be conservative or surgical. 21 In this review, 20 patients (35.1%) were treated conservatively with cyst aspiration, steroid injection, or no intervention at all, whereas 36 patients (63.2%) were surgically managed.…”

Section: Discussionmentioning

confidence: 99%

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Gigantic acromioclavicular joint cyst: presentation and mini review

Christodoulou

Kakagia

Galanis³

et al. 2021

Journal of Shoulder and Elbow Surgery

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Acromioclavicular joint (ACJ) cyst is an uncommonly documented condition of the shoulder, first described by Craig. 5 According to Hiller's classification, 13 there are 2 types of cysts, based on the various etiologies that generate them. Type I cysts are caused by degenerative changes of the ACJ due to injury, metabolic/infectious disease, or excessive use and are therefore restricted to the joint, with an intact rotator cuff. Gradually, these changes can inflame the synovium, leading to the overproduction of fluid and cyst formation superficial to the ACJ. Type II cysts are associated with rotator cuff tears, partial or complete, and subsequent cuff tear arthropathy, including superior migration of the humeral head and irritation of the inferior ACJ capsule. Synovial fluid from the glenohumeral joint (GHJ) escapes through the subacromial/subdeltoid bursa (Geyser sign) into the ACJ, with the deteriorated capsule acting like a 1-way valve that prevents the fluid from returning, leading to the formation of a cyst. 6 We report a massive cyst over the right ACJ in an 80-yearold man, followed by a short literature review. PubMed database search was carried out using the terms acromioclavicular joint cyst, acromioclavicular joint ganglion cyst, ACJ cyst, and ACJ ganglion cyst. No date criteria were placed. All articles reporting the cyst's size and its underlying pathology, as well as the applied treatment methods and the recurrence rate, were included. The inclusion criteria were (1) full-text studies and (2) English language or official English translation provided. The initial research query provided 166 records. Eleven were excluded as duplicates, and 79 were irrelevant by reviewing the title. In addition, 2 cases describing a juxtaarticular myxoma and chondromyxoid fibroma, respectively, were excluded. From the remaining 76 reports, 10 were rejected by reviewing their abstracts, because of apparent irrelevancy. We tried to retrieve the full text of the remaining 66 articles. For 10 of them, the whole text could not be obtained; therefore, they were excluded. No official English translation was provided for 8 articles, which were also not included. A total number of 48 cases were thoroughly reviewed. Six were rejected because of irrelevant data and 6 because of a low level of evidence. A total of 34 studies finally entered the review, reporting 57 cases of ACJ cysts (Table I). A right-handed 80-year-old man was admitted to the hospital with a mass located above his right ACJ. His medical history was free, with the exception of pulmonary echinococcosis, diagnosed 40 years ago. The patient, a retired manual laborer, denied any previous shoulder trauma or any prior surgeries on the affected side, but complained of chronic right shoulder discomfort and mild pain during daily life activities, because of a gradually increasing shoulder lump. On physical examination, the mass measured 6.5 cm in diameter, 8 cm in length, 5 cm in Institutional review board approval was not required for this case report. This patient provid...

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“…This sign was due to the leakage of contrast from the GH joint into the subdeltoid bursa due to the presence of a tear in the inferior articular capsule in the ACJ. Other modality of investigation such as ultrasound is more accessible but operator dependent [ 6 ]. The advent of MRI has modernised this sign radiologically, as T2 or proton-density weighted sequence would demonstrate bright signal changes from the synovial fluid extravasation without the need of a contrast.…”

Section: Discussionmentioning

confidence: 99%

Reverse Total Shoulder Replacement with Minimal ACJ Excision Arthroplasty for Management of Massive ACJ Cyst - A Case Report

Shaarani

Mullett

2014

TOORTHJ

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Acromio-clavicular joint cyst associated with a complete rotator cuff tear – A case report

Cited by 8 publications

References 23 publications

Treatment of Rockwood type III acromioclavicular joint dislocation using autogenous semitendinosus tendon graft and endobutton technique

Treatment of Rockwood type III acromioclavicular joint dislocation using autogenous semitendinosus tendon graft and endobutton technique

Gigantic acromioclavicular joint cyst: presentation and mini review

Reverse Total Shoulder Replacement with Minimal ACJ Excision Arthroplasty for Management of Massive ACJ Cyst - A Case Report

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