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The Journal of Bone and Joint Surgery (American) 83:1237-1242 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Case Report

Interactive Magnetic Resonance Image-Guided Aspiration Therapy of a Glenoid Labral Cyst

A Case Report

Carl S. Winalski, MD, Mark I. Robbins, MD, Stuart G. Silverman, MD and John A.K. Davies, MD

Investigation performed at the Departments of Radiology and Orthopedic Surgery, Harvard Medical School and Brigham and Women’s Hospital, Boston, Massachusetts
Carl S. Winalski, MD
Stuart G. Silverman, MD
John A.K. Davies, MD
Departments of Radiology (C.S.W. and S.G.S.) and Orthopedic Surgery (J.A.K.D.), Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115. E-mail address for C.S. Winalski: carl@bwh.harvard.edu

Mark I. Robbins, MD
Department of Radiology
Yale University School of Medicine
333 Cedar Street, P.O. Box 208042
New Haven, CT 06520-8042

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.


   Introduction
 
Glenoid labral cysts, which are ganglion cysts of the shoulder, can cause entrapment of the suprascapular nerve, resulting in shoulder pain and muscle weakness1-4. Treatment for compression of the infraspinatus branch of the suprascapular nerve has included (1) rest, nonsteroidal anti-inflammatory medication, and physical therapy2,5; (2) open excision of the cyst; (3) arthroscopic decompression of the ganglion and repair of the posterior-superior capsulolabral complex2,6,7; and (4) ultrasound or computed tomography-guided aspiration1,8. We successfully performed needle aspiration of a labral cyst of the spinoglenoid notch with use of a new interactive magnetic resonance image-guided method.


   Case Report
 
A thirty-two-year-old right-handed male landscaper and snowplow operator went to his primary-care physician with a one-month history of pain, heaviness, and positional weakness in his right shoulder. He was treated with limitation of activity, nonsteroidal anti-inflammatory medication, and shoulder exercises for five months prior to referral to our office.

Physical examination, performed . . . [Full Text of this Article]


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