Ultrasound-guided arthroscope insertion and decompression of a supraspinous fossa cyst

Tomohisa Hashiuchi, Goro Sakurai, Koichi Sawai, Tatsuya Komei, Masataka Shimaya, Yoshinori Takakura, Tsukasa Kumai, Yasuhito Tanaka

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A cyst arising in the scapular supraspinous fossa may cause shoulder pain; subsequently, enlargement of the cyst may result in severe compression of the adjacent suprascapular nerve, leading to muscle weakness and sensory disorder. Decompression of the nerve through cyst removal is effective in resolving these symptoms. However, treatment can also be performed less invasively through arthroscopy. Insertion of an arthroscope without visual guidance could cause tissue damage and, consequently, would become an invasive procedure itself. The use of ultrasonography to guide the scope to the cyst decreases the invasiveness of the procedure. Here, we present the case of a patient with a cyst arising in the scapular supraspinous fossa, in whom we could relatively readily and safely observe the cyst by advancing an arthroscope under ultrasonographic guidance. The suprascapular nerve was decompressed via cyst removal.

Original languageEnglish
Pages (from-to)475-481
Number of pages7
JournalJournal of Medical Ultrasonics
Volume40
Issue number4
DOIs
Publication statusPublished - 2013 Oct 1

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Keywords

  • Cyst
  • Shoulder
  • Suprascapular nerve
  • Supraspinous fossa
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Hashiuchi, T., Sakurai, G., Sawai, K., Komei, T., Shimaya, M., Takakura, Y., Kumai, T., & Tanaka, Y. (2013). Ultrasound-guided arthroscope insertion and decompression of a supraspinous fossa cyst. Journal of Medical Ultrasonics, 40(4), 475-481. https://doi.org/10.1007/s10396-013-0452-5