Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder Pain

We describe a case of suprascapular nerve entrapment caused by protrusion of an intraosseous ganglion of the glenoid into the spinoglenoid notch. A 47-year-old man with left shoulder pain developed an intraosseous cyst in the left glenoid, which came into contact with the suprascapular nerve. The ar...

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Main Authors: Daichi Ishimaru, Akihito Nagano, Nobuo Terabayashi, Yutaka Nishimoto, Haruhiko Akiyama
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/1704697
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author Daichi Ishimaru
Akihito Nagano
Nobuo Terabayashi
Yutaka Nishimoto
Haruhiko Akiyama
author_facet Daichi Ishimaru
Akihito Nagano
Nobuo Terabayashi
Yutaka Nishimoto
Haruhiko Akiyama
author_sort Daichi Ishimaru
collection DOAJ
description We describe a case of suprascapular nerve entrapment caused by protrusion of an intraosseous ganglion of the glenoid into the spinoglenoid notch. A 47-year-old man with left shoulder pain developed an intraosseous cyst in the left glenoid, which came into contact with the suprascapular nerve. The area at which the patient experienced spontaneous shoulder pain was innervated by the suprascapular nerve, and 1% xylocaine injection into the spinoglenoid notch under ultrasonographic guidance relieved the pain. Therefore, we concluded that the protrusion of an intraosseous cyst of the glenoid into the spinoglenoid notch was a cause of the pain, and performed curettage. Consequently, the shoulder pain was resolved promptly without suprascapular nerve complications, and the cyst was histologically diagnosed as an intraosseous ganglion. This case demonstrated that the intraosseous ganglion of the glenoid was a benign lesion but could be a cause of suprascapular nerve entrapment syndrome. Curettage is a useful treatment option for a ganglion inside bone and very close to the suprascapular nerve.
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institution Kabale University
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publishDate 2017-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-ca27bf7f6a764108931f45efee033be02025-02-03T05:53:59ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/17046971704697Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder PainDaichi Ishimaru0Akihito Nagano1Nobuo Terabayashi2Yutaka Nishimoto3Haruhiko Akiyama4Department of Orthopaedic Surgery, Gifu University School of Medicine, Yanagido 1-1, Gifu, Gifu Prefecture, JapanDepartment of Orthopaedic Surgery, Gifu University School of Medicine, Yanagido 1-1, Gifu, Gifu Prefecture, JapanDepartment of Orthopaedic Surgery, Gifu University School of Medicine, Yanagido 1-1, Gifu, Gifu Prefecture, JapanDepartment of Orthopaedic Surgery, Gifu University School of Medicine, Yanagido 1-1, Gifu, Gifu Prefecture, JapanDepartment of Orthopaedic Surgery, Gifu University School of Medicine, Yanagido 1-1, Gifu, Gifu Prefecture, JapanWe describe a case of suprascapular nerve entrapment caused by protrusion of an intraosseous ganglion of the glenoid into the spinoglenoid notch. A 47-year-old man with left shoulder pain developed an intraosseous cyst in the left glenoid, which came into contact with the suprascapular nerve. The area at which the patient experienced spontaneous shoulder pain was innervated by the suprascapular nerve, and 1% xylocaine injection into the spinoglenoid notch under ultrasonographic guidance relieved the pain. Therefore, we concluded that the protrusion of an intraosseous cyst of the glenoid into the spinoglenoid notch was a cause of the pain, and performed curettage. Consequently, the shoulder pain was resolved promptly without suprascapular nerve complications, and the cyst was histologically diagnosed as an intraosseous ganglion. This case demonstrated that the intraosseous ganglion of the glenoid was a benign lesion but could be a cause of suprascapular nerve entrapment syndrome. Curettage is a useful treatment option for a ganglion inside bone and very close to the suprascapular nerve.http://dx.doi.org/10.1155/2017/1704697
spellingShingle Daichi Ishimaru
Akihito Nagano
Nobuo Terabayashi
Yutaka Nishimoto
Haruhiko Akiyama
Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder Pain
Case Reports in Orthopedics
title Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder Pain
title_full Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder Pain
title_fullStr Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder Pain
title_full_unstemmed Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder Pain
title_short Suprascapular Nerve Entrapment Caused by Protrusion of an Intraosseous Ganglion of the Glenoid into the Spinoglenoid Notch: A Rare Cause of Posterior Shoulder Pain
title_sort suprascapular nerve entrapment caused by protrusion of an intraosseous ganglion of the glenoid into the spinoglenoid notch a rare cause of posterior shoulder pain
url http://dx.doi.org/10.1155/2017/1704697
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