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Quiste gigante acromioclavicular en paciente mayor. Hasta cuando tratar la causa
Giant acromioclavicular cyst in an elderly patient. Until when to treat the cause
PARDO COELLO MM1 , CALATRAVA ROMERO R1 , MADROÑERO MELO F2 , LÓPEZ MONTES MC1 , NIEVES HERNÁNDEZ M1 , RABADÁN PÉREZ, M1 , CASTELLANOS ROBLES E1 1. SERVICIO DE TRAUMATOLOGÍA HOSPITAL GENERAL DE TOMELLOSO (CIUDAD REAL) 2. SERVICIO DE ANESTESIA Y REANIMACIÓN. UNIDAD DEL DOLOR. HOSP. GRAL TOMELLOSO (CIUDAD REAL
Recepción:
22/12/2022
Aceptación:
22/12/2022
Publicación:
22/12/2022
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Resumen (ES)
Acromioclavicular joint cysts are a rare entity, generally present in elderly patients with chronic injuries or
arthropathies of the rotator cuff. There are several causes of cyst formation, there are generally two of the most frequent,
which we will talk about in this article. Clinical case: We present the case of an 82-year-old male patient with a giant
acromioclavicular cyst, more than 20 cm in diameter, with rapid growth in recent months and with associated rotator cuff
tendon injury. Discussion: These cysts are not very frequent injuries, mainly caused by degeneration of the
acromioclavicular joint, most of the cases associated with rotator cuff injuries. Diagnosis is based on clinical examination,
ultrasound and magnetic resonance imaging. Treatment by cyst aspiration and corticosteroid infiltration is not usually very
effective and has a high recurrence rate, so surgical removal of the cyst is more indicated. Conclusions: The surgical
indication for these cysts is pain, sometimes associated with resection of distal fragments of the clavicle; when a rotator
cuff injury is present, reverse shoulder arthroplasty can be an alternative; however, in patients with poor symptoms, simple
excision of the cyst can be an effective treatment
arthropathies of the rotator cuff. There are several causes of cyst formation, there are generally two of the most frequent,
which we will talk about in this article. Clinical case: We present the case of an 82-year-old male patient with a giant
acromioclavicular cyst, more than 20 cm in diameter, with rapid growth in recent months and with associated rotator cuff
tendon injury. Discussion: These cysts are not very frequent injuries, mainly caused by degeneration of the
acromioclavicular joint, most of the cases associated with rotator cuff injuries. Diagnosis is based on clinical examination,
ultrasound and magnetic resonance imaging. Treatment by cyst aspiration and corticosteroid infiltration is not usually very
effective and has a high recurrence rate, so surgical removal of the cyst is more indicated. Conclusions: The surgical
indication for these cysts is pain, sometimes associated with resection of distal fragments of the clavicle; when a rotator
cuff injury is present, reverse shoulder arthroplasty can be an alternative; however, in patients with poor symptoms, simple
excision of the cyst can be an effective treatment
Palabras clave (ES):
gigante
Quistearticulación
acromioclavicular
paciente
anciano.
Resumen (EN)
Acromioclavicular joint cysts are a rare entity, generally present in elderly patients with chronic injuries or
arthropathies of the rotator cuff. There are several causes of cyst formation, there are generally two of the most frequent,
which we will talk about in this article. Clinical case: We present the case of an 82-year-old male patient with a giant
acromioclavicular cyst, more than 20 cm in diameter, with rapid growth in recent months and with associated rotator cuff
tendon injury. Discussion: These cysts are not very frequent injuries, mainly caused by degeneration of the
acromioclavicular joint, most of the cases associated with rotator cuff injuries. Diagnosis is based on clinical examination,
ultrasound and magnetic resonance imaging. Treatment by cyst aspiration and corticosteroid infiltration is not usually very
effective and has a high recurrence rate, so surgical removal of the cyst is more indicated. Conclusions: The surgical
indication for these cysts is pain, sometimes associated with resection of distal fragments of the clavicle; when a rotator
cuff injury is present, reverse shoulder arthroplasty can be an alternative; however, in patients with poor symptoms, simple
excision of the cyst can be an effective treatment
arthropathies of the rotator cuff. There are several causes of cyst formation, there are generally two of the most frequent,
which we will talk about in this article. Clinical case: We present the case of an 82-year-old male patient with a giant
acromioclavicular cyst, more than 20 cm in diameter, with rapid growth in recent months and with associated rotator cuff
tendon injury. Discussion: These cysts are not very frequent injuries, mainly caused by degeneration of the
acromioclavicular joint, most of the cases associated with rotator cuff injuries. Diagnosis is based on clinical examination,
ultrasound and magnetic resonance imaging. Treatment by cyst aspiration and corticosteroid infiltration is not usually very
effective and has a high recurrence rate, so surgical removal of the cyst is more indicated. Conclusions: The surgical
indication for these cysts is pain, sometimes associated with resection of distal fragments of the clavicle; when a rotator
cuff injury is present, reverse shoulder arthroplasty can be an alternative; however, in patients with poor symptoms, simple
excision of the cyst can be an effective treatment
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