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Massive acromioclavicular ganglionic cyst treated with excision and allograft patch of acromioclavicular region

2011; Elsevier BV; Volume: 21; Issue: 3 Linguagem: Inglês

10.1016/j.jse.2011.07.033

1532-6500

John G. Skedros, Alex N. Knight,

Musculoskeletal synovial abnormalities and treatments

Although acromioclavicular (AC) joint cysts are infrequent, when they do occur they are typically associated with full-thickness rotator cuff tears or AC joint degeneration, or both. 4 Craig E.V. The acromioclavicular joint cyst. An unusual presentation of a rotator cuff tear. Clin Orthop Relat Res. 1986; : 189-192 PubMed Google Scholar , 7 Groh G.I. Badwey T.M. Rockwood Jr., C.A. Treatment of cysts of the acromioclavicular joint with shoulder hemiarthroplasty. J Bone Joint Surg Am. 1993; 75: 1790-1794 PubMed Google Scholar , 8 Hiller A.D. Miller J.D. Zeller J.L. Acromioclavicular joint cyst formation. Clin Anat. 2010; 23: 145-152https://doi.org/10.1002/ca.20918 Crossref PubMed Scopus (39) Google Scholar , 10 Lizaur Utrilla A. Marco Gomez L. Perez Aznar A. Cebrian Gomez R. Rotator cuff tear and acromioclavicular joint cyst. Acta Orthop Belg. 1995; 61: 144-146 PubMed Google Scholar , 11 Marino A.J. Tyrrell P.N. el-Houdiri Y.A. Kelly C.P. Acromioclavicular joint cyst and rotator cuff tear. J Shoulder Elbow Surg. 1998; 7: 435-437 Abstract Full Text PDF PubMed Scopus (16) Google Scholar , 13 Montet X. Zamorani-Bianchi M.P. Mehdizade A. Martinoli C. Bianchi S. Intramuscular ganglion arising from the acromioclavicular joint. Clin Imaging. 2004; 28: 109-112https://doi.org/10.1016/S0899-7071(03)00104-9 Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar , 14 Moratalla M.B. Gabarda R.F. Acromioclavicular joint ganglion. Eur J Radiol Extra. 2007; 63: 21-23https://doi.org/10.1016/j.ejrex.2007.04.007 Crossref Scopus (5) Google Scholar , 15 Mullett H. Benson R. Levy O. Arthroscopic treatment of a massive acromioclavicular joint cyst. Arthroscopy. 2007; 23: 446.e1-446.e4https://doi.org/10.1016/j.arthro.2005.12.037 Abstract Full Text Full Text PDF Scopus (17) Google Scholar , 16 Murena L. D’Angelo F. Falvo D.A. Vulcano E. Surgical treatment of an aseptic fistulized acromioclavicular joint cyst: a case report and review of the literature. Cases J. 2009; 2: 8388https://doi.org/10.4076/1757-1626-2-8388 Crossref PubMed Scopus (18) Google Scholar , 17 Nowak D.D. Covey A.S. Grant R.T. Bigliani L.U. Massive acromioclavicular joint cyst. J Shoulder Elbow Surg. 2009; 18: e12-e14https://doi.org/10.1016/j.jse.2008.11.009 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar , 18 Postacchini F. Perugia D. Gumina S. Acromioclavicular joint cyst associated with rotator cuff tear. A report of three cases. Clin Orthop Relat Res. 1993; : 111-113 PubMed Google Scholar , 20 Segmuller H.E. Saies A.D. Hayes M.G. Ganglion of the acromioclavicular joint. J Shoulder Elbow Surg. 1997; 6: 410-412 Abstract Full Text PDF PubMed Scopus (11) Google Scholar , 21 Selvi E. Falsetti P. Manganelli S. De Stefano R. Frati E. Marcolongo R. Acromioclavicular joint cyst: a presenting feature of full thickness rotator cuff tear. J Rheumatol. 2000; 27: 2045-2046 PubMed Google Scholar , 22 Tshering Vogel D.W. Steinbach L.S. Hertel R. Bernhard J. Stauffer E. Anderson S.E. Acromioclavicular joint cyst: nine cases of a pseudotumor of the shoulder. Skeletal Radiol. 2005; 34: 260-265https://doi.org/10.1007/s00256-004-0883-6 Crossref PubMed Scopus (47) Google Scholar AC joint cysts are also typically benign, being either ganglionic or synovial. Few reports have described the surgical management of massive AC ganglionic cysts. 2 Burns S.J. Zvirbulis R.A. A ganglion arising over the acromioclavicular joint: a case report. Orthopedics. 1984; 7: 1002-1004 Google Scholar , 11 Marino A.J. Tyrrell P.N. el-Houdiri Y.A. Kelly C.P. Acromioclavicular joint cyst and rotator cuff tear. J Shoulder Elbow Surg. 1998; 7: 435-437 Abstract Full Text PDF PubMed Scopus (16) Google Scholar , 17 Nowak D.D. Covey A.S. Grant R.T. Bigliani L.U. Massive acromioclavicular joint cyst. J Shoulder Elbow Surg. 2009; 18: e12-e14https://doi.org/10.1016/j.jse.2008.11.009 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar , 20 Segmuller H.E. Saies A.D. Hayes M.G. Ganglion of the acromioclavicular joint. J Shoulder Elbow Surg. 1997; 6: 410-412 Abstract Full Text PDF PubMed Scopus (11) Google Scholar Some of these reports have advocated repairing the underlying rotator cuff tear because the recurrence rate of AC joint cysts might otherwise be high, regardless of whether they are ganglionic or synovial. 11 Marino A.J. Tyrrell P.N. el-Houdiri Y.A. Kelly C.P. Acromioclavicular joint cyst and rotator cuff tear. J Shoulder Elbow Surg. 1998; 7: 435-437 Abstract Full Text PDF PubMed Scopus (16) Google Scholar , 17 Nowak D.D. Covey A.S. Grant R.T. Bigliani L.U. Massive acromioclavicular joint cyst. J Shoulder Elbow Surg. 2009; 18: e12-e14https://doi.org/10.1016/j.jse.2008.11.009 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar However, humeral hemiarthroplasty 7 Groh G.I. Badwey T.M. Rockwood Jr., C.A. Treatment of cysts of the acromioclavicular joint with shoulder hemiarthroplasty. J Bone Joint Surg Am. 1993; 75: 1790-1794 PubMed Google Scholar , 8 Hiller A.D. Miller J.D. Zeller J.L. Acromioclavicular joint cyst formation. Clin Anat. 2010; 23: 145-152https://doi.org/10.1002/ca.20918 Crossref PubMed Scopus (39) Google Scholar or AC resection without hemiarthroplasty 8 Hiller A.D. Miller J.D. Zeller J.L. Acromioclavicular joint cyst formation. Clin Anat. 2010; 23: 145-152https://doi.org/10.1002/ca.20918 Crossref PubMed Scopus (39) Google Scholar , 16 Murena L. D’Angelo F. Falvo D.A. Vulcano E. Surgical treatment of an aseptic fistulized acromioclavicular joint cyst: a case report and review of the literature. Cases J. 2009; 2: 8388https://doi.org/10.4076/1757-1626-2-8388 Crossref PubMed Scopus (18) Google Scholar , 17 Nowak D.D. Covey A.S. Grant R.T. Bigliani L.U. Massive acromioclavicular joint cyst. J Shoulder Elbow Surg. 2009; 18: e12-e14https://doi.org/10.1016/j.jse.2008.11.009 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar , 18 Postacchini F. Perugia D. Gumina S. Acromioclavicular joint cyst associated with rotator cuff tear. A report of three cases. Clin Orthop Relat Res. 1993; : 111-113 PubMed Google Scholar have been reported as being effective at reducing AC joint cyst recurrence when rotator cuff tear repair is not possible.