A Few Considerations on “A Rare Cause of Shoulder Pain Ganglion Cyst of the Acromioclavicular Joint”: A Letter to the Editor
DOI:
https://doi.org/10.17140/ORHOJ-4-116Keywords:
X-ray, T2 image, i (MRI), surgeryAbstract
We are very interested in the article by Sarman et al.1 A rare
cause of shoulder pain: Ganglion cyst of the acromioclavicular
joint.1 Ganglion cyst often induces severe pain and impairs
quality of life, even with multi-modal therapies. The ganglion cyst
commonly develops along the tendons or joints. Ganglion cysts
are typically round or oval shape and filled with a jellylike fluid. We
appreciated the rare case report by Sarman et al.1 Sarman et al1 performed
an image investigation to clarify the tissue content by an Xray
and an magnetic resonance imaging (MRI) examination. They
found a 10×8×5 cm mass which was homogenous fluid contained
with a septum. And the lesion had several cysts in the T2 image.
Although, it looked like a benign lesion as the author described, a
painful mass raised the alarm. The possibility of malignant change
is because of the lesion size which is bigger than 5 cm as well as a
deep mass or one adhering to the fascia.2 Conversely, a mass that
moves with the muscle tissues is probably superficial and less likely
to be malignant.
References
Sarman H, Celik M, Bala MM. A rare cause of shoulder pain: Ganglion cyst of the acromioclavicular joint. Osteol Rheumatol Open J. 2016; 1(1): 20-22. doi: 10.17140/ORHOJ-1-107
Johnson CJ, Pynsent PB, Grimer RJ. Clinical features of soft tis-sue sarcomas. Ann R Coll Surg Engl. 2001; 83: 203-205.
Rochwerger A, Mattei J-C. Management of soft tissue tumors of the musculoskeletal system. Orthop Traumatol Surg Res. 2018; Osteol Rheumatol Open J. 2022; 4(1): 1-2. doi: 10.17140/ORHOJ-4-116 104(1S): S9-S17. doi: 10.1016/j.otsr.2017.05.031
Dimitriou D, Mazel P, Hochreiter B, et al. Superior humeral head migration might be a radiological aid in diagnosing patients with adhesive capsulitis of the shoulder. JSES Int. 2021; 5(6): 1086- 1090. doi: 10.1016/j.jseint.2021.06.008
Safran O, Schroeder J, Bloom R, Weil Y, Milgrom C. Natural Submit your article to this journal | https://openventio.org/submit-manuscript/ 2 Zheng Z-H, et al PUBLISHERS history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger. Am J Sports Med. 2011; 39: 710- 714. doi: 10.1177/0363546510393944
Kim Y-S, Kim S-E, Bae S-H et al. Tear progression of symptom-atic full-thickness and partial--thickness rotator cuff tears as mea-sured by repeated MRI. Knee Surg Sports Traumatol Arthrosc. 2017; 25: 2073-2080. doi: 10.1007/s00167-016-4388-3 A Letter to Editor | Volume 4 | Number 1 |
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