Paralabral cyst of the shoulder

Case contributed by Senai Goitom Sereke
Diagnosis almost certain

Presentation

Chronic left shoulder pain

Patient Data

Age: 55 years
Gender: Male

A large multilocular cyst that connects to a small lesion in the posterior superior labrum and extends into the spinoglenoid notch and below the supraspinatus muscle to the suprascapular notch.

Bursal-sided partial thickness tear of the supraspinatus tendon.

Mild subacromial-subdeltoid bursitis and acromioclavicular joint osteoarthritis.

Case Discussion

Paralabral cyst of the shoulder can be unilocular or multilocular as in this case. The exact pathophysiology is not well known but may represent synovial, ganglion or pseudocyst. They are highly associated with glenoid labral tears.

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