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Giant Synovial Cyst Occurred in a Patient with Rotator Cuff Tear. Case Report Tsuyoshi Kumakura 1 , Katsumi Takase 1 , Hiroaki Matsuoka 1 , Takashi Koyama 1 , Kengo Yamamoto 1 1Department Orthopaedic Surgery, Tokyo Medical University Keyword: synovial cyst , 巨大滑液嚢腫 , rotator cuff tear , 腱板断裂 , valvular mechanism , 弁機能 pp.581-585
Published Date 2005/5/1
DOI https://doi.org/10.11477/mf.1408100109
  • Abstract
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 We report a patient with a giant synovial cyst complicated with a rotator cuff tear. A 69-year-old woman with swelling and pain in the right shoulder without a special history was found to have swelling palpated in the anterior region of the right deltoid muscle. T1-and T2-weighted MR imaging showed low signal intensity and low to high signal intensities in the inferior anterior region of the deltoid muscle, suggesting a synovial cyst. Imaging also showed a full thickness tear of the supraspinous tendon. Resection of the giant synovial cyst and reconstruction of the supraspinous tendon were done in one-stage surgery. No local recurrence has been seen. In this patient, in addition to the valvular mechanism related to the full thickness rotator cuff tear, chronic inflammation of the synovial membrane may have contributed to formation of the synovial cyst.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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