A Case Report of an Acromioclavicular Joint Ganglion Associated with a Rotator Cuff Tear.
We report a case of subcutaneous ganglion adjacent to the acromioclavicular joint with massive rotator cuff tear [1-7]. An 81-year-old woman presented with a ganglion adjacent to the acromioclavicular joint that had first been identified 9 months earlier. The ganglion had recurred after having been aspirated by her local physician, so she was referred to our hospital. The puncture fluid was yellowish, clear and viscous. Magnetic resonance imaging identified a massive rotator cuff tear with multi- lobular cystic lesions continuous to the acromioclavicular joint, presenting the "geyser sign". During arthroscopy, distal clavicular resection and excision of the ganglion were performed together with joint debridement. At present, the ganglion has not recurred and the patient has returned to normal daily activity. In this case, the ganglion may have developed subsequent to the concomitant massive cuff tear, due to subcutaneous fluid flow through the damaged acromioclavicular joint.
Department of Orthopedic Surgery, Kurume University Medical Center.
Suguru
S
Tanaka
Department of Orthopedic Surgery, Kurume University Medical Center.
Masafumi
M
Gotoh
Department of Orthopedic Surgery, Kurume University Medical Center.
Yasuhiro
Y
Mitsui
Department of Orthopedic Surgery, Kurume University Medical Center.
Isao
I
Shirachi
Department of Orthopedic Surgery, Kurume University Medical Center.
Takahiro
T
Okawa
Fujio
F
Higuchi
Department of Orthopedic Surgery, Kurume University School of Medicine.
Naoto
N
Shiba
D000173:Acromioclavicular Joint / Q000473:pathology; D000369:Aged, 80 and over; D001182:Arthroscopy; D002062:Bursitis / Q000473:pathology; D005260:Female; D045888:Ganglion Cysts / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009364:Neoplasm Recurrence, Local; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013582:Synovial Fluid; D013708:Tendon Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome