A Few Considerations on “A Rare Cause of Shoulder Pain Ganglion Cyst of the Acromioclavicular Joint”: A Letter to the Editor
We are very interested in the article by Sarman et al. A rare
cause of shoulder pain: Ganglion cyst of the acromioclavicular joint.
Ganglion cyst often induces severe pain and impairs
quality of life, even with multi-modal therapies.
The ganglion cyst commonly develops along the tendons or joints. Ganglion cysts
are typically round or oval shape and filled with a jellylike fluid.
.
We appreciated the rare case report by Sarman et al.
Sarman et al performed an image investigation to clarify the tissue
content by an Xray and an magnetic resonance imaging (MRI) examination.
.
They found a 10×8×5 cm mass which was homogenous fluid contained
with a septum. And the lesion had several cysts in the T2 image.
Although, it looked like a benign lesion as the author described, a
painful mass raised the alarm. The possibility of malignant change
is because of the lesion size which is bigger than 5 cm as well as a
deep mass or one adhering to the fascia.
Conversely, a mass that moves with the muscle tissues
is probably superficial and less likely
to be malignant.
According to the X-ray, the acromion-humeral head interval was decreased, the humeral head was
upper migrated, and
osteophyte over the greater trochanter of the humeral head, which
indicated the rotator cuff tear lesion was not a small lesion.
Osteol Rheumatol Open J. 2022; 1(1): 64-65. doi: 10.17140/ORHOJ-1-116
