title: The SLAP lesion as a reason for glenolabral cysts: a report of five cases and review of the literature.
abstract: BACKGROUND
  Cysts in the spinoglenoidal or supraglenoidal incisura can be a cause of compression of the suprascapular nerve. There is agglomerated appearance of these cysts in combination with SLAP lesions. Hypothesis is SLAP lesions can lead to cysts in this region and should be repaired.
  
  
  METHODS
  MRI of five patients (all male, four 30-40 years, one 75 years) showed cysts in the supralabral region. All were in combination with lesions of the superior glenoidal labrum (Type II or more).
  
  
  RESULTS
  In two cases, in addition to cyst resection, the SLAP lesion was also repaired and symptoms disappeared completely and no recurrent cyst was detected in postoperative MRI. Two patients without SLAP repair showed recurrent cystic formation in MRI with similar complaints compared to their preoperative status. One patient (75 years) was treated primarily by puncture and afterwards with open resection of the cyst. His outcome was good in terms of activities of daily living without major pain.
  
  
  CONCLUSIONS
  Our results are based on the assumption that cysts in the region of the spinoglenoidal/supraglenoidal incisura can originate from SLAP lesions. If a patient is suspected of having cysts in this region, the question of a SLAP lesion should be clarified. SLAP lesions should be repaired to avoid relapse. Arthroscopic repair of SLAP lesion can lead to the disappearance of symptoms in younger patients. In older patients puncture or resection of the ganglion alone may be an adequate therapeutic strategy.
authors.affiliation: Clinic for Orthopedic Surgery, Kantonsspital St. Gallen, 9007 St. Gallen, Switzerland. info@markus-kessler.de
authors.forename: M A
authors.initials: MA
authors.lastname: Kessler
authors.forename: K
authors.initials: K
authors.lastname: Stoffel
authors.forename: A
authors.initials: A
authors.lastname: Oswald
authors.forename: G
authors.initials: G
authors.lastname: Stutz
authors.forename: A
authors.initials: A
authors.lastname: Gaechter
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001182:Arthroscopy; D003937:Diagnosis, Differential; D045888:Ganglion Cysts / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D008297:Male; D018908:Muscle Weakness / Q000175:diagnosis / Q000209:etiology; D009133:Muscular Atrophy / Q000175:diagnosis / Q000209:etiology; D009408:Nerve Compression Syndromes / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D011677:Punctures; D012008:Recurrence; D012086:Reoperation; D012540:Scapula / Q000294:innervation*; D012785:Shoulder Joint / Q000473:pathology / Q000601:surgery; D020069:Shoulder Pain / Q000209:etiology*