Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22096
  Title Intraosseous ganglion cyst of the humeral head in a competitive flat water paddler: Case report
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222705/
Journal J Can Chiropr Assoc. 2011 Dec;55(4):294-301
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: To present the diagnostic and clinical features of an intraosseous ganglion cyst of the humeral head of a female flat water canoe athlete.

Clinical Features: An 18-year old female flat water canoeist complaining of right shoulder pain following a strenuous paddling training camp.

Intervention and outcome: A trial of passive care was conducted, including soft tissue therapy, spinal manipulative therapy, acupuncture, and rehabilitation. The patient seemed to be responding with treatment, but pain would always resume with paddling. A diagnostic ultrasound displayed mild thickening and effusion in the subacromial/subdeltoid bursae. Continued passive care was not able to resolve the symptoms and she underwent an MRI which revealed an intraosseus ganglion cyst subjacent to the lesser tuberosity and floor of the intertubercular groove. A subsequent MRA was ordered to assess the labrum, which was intact, but the cyst had progressed in size. She was referred to an orthopedic surgeon who performed surgery.

Conclusion: An IOG cyst within the humeral head is a rare, potentially painful condition that can mimic other pathologies including impingement and labral tear. It is important to be aware of the clinical features to obtain a prompt diagnosis and appropriate treatment of this condition.


Objectif: Soumettre un diagnostic et les caractéristiques cliniques d’un kyste ganglionnaire intraosseux de la tête humérale d’une athlète pratiquant le canoë en eau plate.

Caractéristiques cliniques : une canoéiste en eau plate de 18 ans se plaint de douleurs à l’épaule droite suite à un camp d’entraînement très exigeant.

Intervention et résultat: Un essai de soins passifs fut mené, notamment la thérapie des parties molles, la manipulation rachidienne, l’acupuncture et la réhabilitation. La patiente semble avoir bien réagi au traitement, mais la douleur revient lorsqu’elle recommence à ramer. Un ultrason diagnostic démontra un épaississement léger et une effusion dans les bourses sous-acromiales/des courts rotateurs de l’épaule. Les soins passifs continus n’ont pu éliminer les symptômes, et elle subit un examen à résonnance magnétique qui révéla un kyste ganglionnaire intraosseux sous-jacent à la tubérosité moindre et au plancher de la cannelure intertuberculaire. Une angiographie à résonnance magnétique subséquente fut exigée pour évaluer le bourrelet marginal, qui était intact, mais le kyste avait grossi. Un chirurgien orthopédique dut l’opérer.

Conclusion: Un kyste ganglionnaire intraosseux dans la tête humérale est un état pathologique douloureux plutôt rare, qui ressemble à d’autres états pathologiques, notamment la déchirure du bourrelet marginal et le coincement. Il est important de connaître les caractéristiques cliniques afin de diagnostiquer rapidement cet état pathologique et de prescrire un traitement adéquat.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.


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