Güven BULUT, Engin ECEVİZ, Nurzat ELMALI, Zeki TAŞDEMİR

Gangliyon Kisti Nedenli Supraskapular Sinir Sıkışması: Üç Olgudaki Tedavi Sonuçları ve Literatür Değerlendirmesi

Posteriyor glenohumeral eklemdeki gangliyon kistinin supraskapular sinire basısı nadirenkarşılaşılan bir omuz ağrısı nedenidir. Bu çalışmada supraskapular sinir sıkışmasınaneden olan gangliyon kistlerine yönelik farklı tedavi yöntemlerinin uygulanabilirliğini ilgililiteratür ışığında tartışmayı amaçladık. Manyetik rezonans (MR) görüntülemede travmaöyküsü olmayan ve omuz ağrısından yakınan üç hastada sağ glenohumeral eklem arkasındagangliyon kisti görünümü ile uyumlu kistik yapı gözlemledik. Glenohumeral eklemdeağrı ve güçsüzlüğe neden olan gangliyon kistleri için literatürde konservatif ve cerrahi tedaviyöntemleri önerilmiştir. Medikal tedaviye yanıtsız hastalarda supraskapular sinirin dekompresyonuiçin kist nedeninin artroskopik tamirinin veya ortadan kaldırılmasının başarılısonuçlar verdiği gözlenmiştir. Artroskopik teknik daha az morbidite görülmesi, fonksiyonlarındaha hızlı düzelmesi, eklem içi patolojilerin daha kolay tespit ve tedavi edilebilmesinedeniyle açık cerrahiye göre daha avantajlıdır.

Compression of the Suprascapular Nerve Due to Ganglion Cyst: Treatment Results in Three Cases and a Literature Review

Pressure by a ganglion cyst in the posterior glenohumeral joint on the suprascapular nerve is a rare cause of shoulder pain. In this paper, we aimed to discuss in light of the literature the applicability of various treatment modalities for ganglion cysts compressing the suprascapular nerve. In magnetic resonance (MR) imaging, we observed cystic structures compatible with a ganglion cyst behind the right glenohumeral joint in three patients who had been complaining of shoulder pain with no history of trauma. Conservative and surgical methods have been suggested in the literature to treat ganglion cysts that cause pain and weakness in the glenohumeral joint. It has been observed that arthroscopic repair or removal of the cause of the cyst is successful in decompressing the suprascapular nerve in patients unresponsive to medical treatment. Arthroscopic technique is more advantageous than open surgery, providing less morbidity, faster restoration of functionality, and easier detection and treatment of intraarticular pathologies.

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