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Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration
The therapeutic effect of ultrasonographically guided aspiration of a ganglion cyst of the shoulder is evaluated. Fifteen patients (nine male, six female) with chronic shoulder pain were enrolled in this study. Each patient was referred to rule out rotator cuff lesion. The ultrasonographic examinati...
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Published in: | Journal of ultrasound in medicine 1999-08, Vol.18 (8), p.531-535 |
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description | The therapeutic effect of ultrasonographically guided aspiration of a ganglion cyst of the shoulder is evaluated. Fifteen patients (nine male, six female) with chronic shoulder pain were enrolled in this study. Each patient was referred to rule out rotator cuff lesion. The ultrasonographic examination showed an anechoic cystic lesion in the shoulder region in every patient and abnormality of the rotator cuff in only four patients. Under ultrasonographic guidance, an 18 gauge needle was inserted into the cyst to aspirate the fluid. Initial sonographic imaging showed the cyst, which appeared as a localized fluid accumulation and was located between the deltoid muscle and the subscapularis tendon in seven patients, between the deltoid muscle and the biceps tendon in one patient, below the coracoacromial ligament in five patients, and over suprascapular notch area in one patient. The ganglion cysts ranged in size from 3.5 to 30 mm. The amount of aspirated fluid in each cyst varied from 0.4 to 12 ml (mean, 2.6 ml +/‐ 3.1) with a clear or light yellowish color and a jelly‐like appearance. No major complications occurred during or after this procedure. The symptom (pain) was improved after sonographically guided aspiration in each patient. Follow‐up study showed complete relief of pain in four patients, marked improvement in nine patients, and mild improvement but still persistent shoulder pain in two patients. Duration of follow‐up study ranged from 2 to 24 months (mean, 6.4 months +/‐ 6.9). The success rate for sonographically guided aspiration was 86% on the basis of marked symptom improvement or relief. Ultrasonographically guided aspiration of shoulder ganglion cysts is an effective procedure in the management of shoulder pain caused by ganglion cysts. |
doi_str_mv | 10.7863/jum.1999.18.8.531 |
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J ; Chou, Y. H ; Wu, J. J ; Hsu, C. C ; Tiu, C. M ; Chang, C. Y ; Yu, C</creator><creatorcontrib>Chiou, H. J ; Chou, Y. H ; Wu, J. J ; Hsu, C. C ; Tiu, C. M ; Chang, C. Y ; Yu, C</creatorcontrib><description>The therapeutic effect of ultrasonographically guided aspiration of a ganglion cyst of the shoulder is evaluated. Fifteen patients (nine male, six female) with chronic shoulder pain were enrolled in this study. Each patient was referred to rule out rotator cuff lesion. The ultrasonographic examination showed an anechoic cystic lesion in the shoulder region in every patient and abnormality of the rotator cuff in only four patients. Under ultrasonographic guidance, an 18 gauge needle was inserted into the cyst to aspirate the fluid. Initial sonographic imaging showed the cyst, which appeared as a localized fluid accumulation and was located between the deltoid muscle and the subscapularis tendon in seven patients, between the deltoid muscle and the biceps tendon in one patient, below the coracoacromial ligament in five patients, and over suprascapular notch area in one patient. The ganglion cysts ranged in size from 3.5 to 30 mm. The amount of aspirated fluid in each cyst varied from 0.4 to 12 ml (mean, 2.6 ml +/‐ 3.1) with a clear or light yellowish color and a jelly‐like appearance. No major complications occurred during or after this procedure. The symptom (pain) was improved after sonographically guided aspiration in each patient. Follow‐up study showed complete relief of pain in four patients, marked improvement in nine patients, and mild improvement but still persistent shoulder pain in two patients. Duration of follow‐up study ranged from 2 to 24 months (mean, 6.4 months +/‐ 6.9). The success rate for sonographically guided aspiration was 86% on the basis of marked symptom improvement or relief. Ultrasonographically guided aspiration of shoulder ganglion cysts is an effective procedure in the management of shoulder pain caused by ganglion cysts.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/jum.1999.18.8.531</identifier><identifier>PMID: 10447077</identifier><identifier>CODEN: JUMEDA</identifier><language>eng</language><publisher>Laurel, MD: Am inst Ulrrasound Med</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Chronic Disease ; Female ; Follow-Up Studies ; General aspects ; Humans ; Ligaments ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Muscle ; Retrospective Studies ; Shoulder Joint ; Shoulder Pain - etiology ; Shoulder Pain - surgery ; Suction - methods ; Synovial Cyst - complications ; Synovial Cyst - diagnostic imaging ; Synovial Cyst - surgery ; Tendons ; Treatment Outcome ; Ultrasonography</subject><ispartof>Journal of ultrasound in medicine, 1999-08, Vol.18 (8), p.531-535</ispartof><rights>2016 by the American Institute of Ultrasound in Medicine</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4831-c2d02eed18e29b2d7b1f680817636bf768ceb15afb346cfe1fa85fd2d9076d073</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.7863%2Fjum.1999.18.8.531$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.7863%2Fjum.1999.18.8.531$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1995111$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10447077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiou, H. J</creatorcontrib><creatorcontrib>Chou, Y. H</creatorcontrib><creatorcontrib>Wu, J. J</creatorcontrib><creatorcontrib>Hsu, C. C</creatorcontrib><creatorcontrib>Tiu, C. M</creatorcontrib><creatorcontrib>Chang, C. Y</creatorcontrib><creatorcontrib>Yu, C</creatorcontrib><title>Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>The therapeutic effect of ultrasonographically guided aspiration of a ganglion cyst of the shoulder is evaluated. Fifteen patients (nine male, six female) with chronic shoulder pain were enrolled in this study. Each patient was referred to rule out rotator cuff lesion. The ultrasonographic examination showed an anechoic cystic lesion in the shoulder region in every patient and abnormality of the rotator cuff in only four patients. Under ultrasonographic guidance, an 18 gauge needle was inserted into the cyst to aspirate the fluid. Initial sonographic imaging showed the cyst, which appeared as a localized fluid accumulation and was located between the deltoid muscle and the subscapularis tendon in seven patients, between the deltoid muscle and the biceps tendon in one patient, below the coracoacromial ligament in five patients, and over suprascapular notch area in one patient. The ganglion cysts ranged in size from 3.5 to 30 mm. The amount of aspirated fluid in each cyst varied from 0.4 to 12 ml (mean, 2.6 ml +/‐ 3.1) with a clear or light yellowish color and a jelly‐like appearance. No major complications occurred during or after this procedure. The symptom (pain) was improved after sonographically guided aspiration in each patient. Follow‐up study showed complete relief of pain in four patients, marked improvement in nine patients, and mild improvement but still persistent shoulder pain in two patients. Duration of follow‐up study ranged from 2 to 24 months (mean, 6.4 months +/‐ 6.9). The success rate for sonographically guided aspiration was 86% on the basis of marked symptom improvement or relief. Ultrasonographically guided aspiration of shoulder ganglion cysts is an effective procedure in the management of shoulder pain caused by ganglion cysts.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Humans</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle</subject><subject>Retrospective Studies</subject><subject>Shoulder Joint</subject><subject>Shoulder Pain - etiology</subject><subject>Shoulder Pain - surgery</subject><subject>Suction - methods</subject><subject>Synovial Cyst - complications</subject><subject>Synovial Cyst - diagnostic imaging</subject><subject>Synovial Cyst - surgery</subject><subject>Tendons</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNqFkU1v1DAYhCMEokvhB3BBOQC3BL9OYjuol6riU0Vc6Nly7NdZV06y2AnR_nu8ZAXcerJsPTMezWTZSyAlF6x6d78MJbRtW4IoRdlU8CjbQdOQomVQPc52hHJR1LTlF9mzGO8JoQR4_TS7AFLXnHC-y_DazxhGNbtfmKvR5Ggt6j-3OaCaBxznfLJ53E-LNxjyXo29d9OY62Oc3-eLn4OK0zj1QR32Tivvj3m_OIMmV_HgQnKexufZE6t8xBfn8zK7-_jhx83n4vb7py8317eFrkUFhaaGUEQDAmnbUcM7sEwQAZxVrLOcCY0dNMp2Vc20RbBKNNZQ0xLODOHVZfZ28z2E6eeCcZaDixq9VyNOS5SsbRtGmodBCnXqDmgCYQN1mGIMaOUhuEGFowQiTyPINII8jSBBSCHTCEnz6my-dAOa_xRb6wl4fQZUTI3ZoEbt4j8upQQ4-Vxt2Oo8Hh_-WH69-3Z6ACG2GG82-d71-9UFlHFI86RQINd1_Rv3N14ksbQ</recordid><startdate>199908</startdate><enddate>199908</enddate><creator>Chiou, H. J</creator><creator>Chou, Y. H</creator><creator>Wu, J. J</creator><creator>Hsu, C. C</creator><creator>Tiu, C. M</creator><creator>Chang, C. Y</creator><creator>Yu, C</creator><general>Am inst Ulrrasound Med</general><general>American Institute of Ultrasound in Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199908</creationdate><title>Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration</title><author>Chiou, H. J ; Chou, Y. H ; Wu, J. J ; Hsu, C. C ; Tiu, C. M ; Chang, C. Y ; Yu, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4831-c2d02eed18e29b2d7b1f680817636bf768ceb15afb346cfe1fa85fd2d9076d073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Humans</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle</topic><topic>Retrospective Studies</topic><topic>Shoulder Joint</topic><topic>Shoulder Pain - etiology</topic><topic>Shoulder Pain - surgery</topic><topic>Suction - methods</topic><topic>Synovial Cyst - complications</topic><topic>Synovial Cyst - diagnostic imaging</topic><topic>Synovial Cyst - surgery</topic><topic>Tendons</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiou, H. J</creatorcontrib><creatorcontrib>Chou, Y. H</creatorcontrib><creatorcontrib>Wu, J. J</creatorcontrib><creatorcontrib>Hsu, C. C</creatorcontrib><creatorcontrib>Tiu, C. M</creatorcontrib><creatorcontrib>Chang, C. Y</creatorcontrib><creatorcontrib>Yu, C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiou, H. J</au><au>Chou, Y. H</au><au>Wu, J. J</au><au>Hsu, C. C</au><au>Tiu, C. M</au><au>Chang, C. Y</au><au>Yu, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>1999-08</date><risdate>1999</risdate><volume>18</volume><issue>8</issue><spage>531</spage><epage>535</epage><pages>531-535</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><coden>JUMEDA</coden><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-1</notes><notes>content type line 23</notes><notes>ObjectType-Article-1</notes><notes>ObjectType-Feature-2</notes><abstract>The therapeutic effect of ultrasonographically guided aspiration of a ganglion cyst of the shoulder is evaluated. Fifteen patients (nine male, six female) with chronic shoulder pain were enrolled in this study. Each patient was referred to rule out rotator cuff lesion. The ultrasonographic examination showed an anechoic cystic lesion in the shoulder region in every patient and abnormality of the rotator cuff in only four patients. Under ultrasonographic guidance, an 18 gauge needle was inserted into the cyst to aspirate the fluid. Initial sonographic imaging showed the cyst, which appeared as a localized fluid accumulation and was located between the deltoid muscle and the subscapularis tendon in seven patients, between the deltoid muscle and the biceps tendon in one patient, below the coracoacromial ligament in five patients, and over suprascapular notch area in one patient. The ganglion cysts ranged in size from 3.5 to 30 mm. The amount of aspirated fluid in each cyst varied from 0.4 to 12 ml (mean, 2.6 ml +/‐ 3.1) with a clear or light yellowish color and a jelly‐like appearance. No major complications occurred during or after this procedure. The symptom (pain) was improved after sonographically guided aspiration in each patient. Follow‐up study showed complete relief of pain in four patients, marked improvement in nine patients, and mild improvement but still persistent shoulder pain in two patients. Duration of follow‐up study ranged from 2 to 24 months (mean, 6.4 months +/‐ 6.9). The success rate for sonographically guided aspiration was 86% on the basis of marked symptom improvement or relief. Ultrasonographically guided aspiration of shoulder ganglion cysts is an effective procedure in the management of shoulder pain caused by ganglion cysts.</abstract><cop>Laurel, MD</cop><pub>Am inst Ulrrasound Med</pub><pmid>10447077</pmid><doi>10.7863/jum.1999.18.8.531</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Biological and medical sciences Chronic Disease Female Follow-Up Studies General aspects Humans Ligaments Male Medical imaging Medical sciences Middle Aged Muscle Retrospective Studies Shoulder Joint Shoulder Pain - etiology Shoulder Pain - surgery Suction - methods Synovial Cyst - complications Synovial Cyst - diagnostic imaging Synovial Cyst - surgery Tendons Treatment Outcome Ultrasonography |
title | Alternative and effective treatment of shoulder ganglion cyst: ultrasonographically guided aspiration |
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