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Speciality: Orthopaedic surgery, Radiology
Article type: Case Report
DOI: 10.1102/1470-5206.2009.0008
Vol 9 pages 29–32
Accepted for publication 10 August 2009

Spontaneous resolution of an intramuscular supraspinatous cyst: a case report and literature review

Jagwinder Dhaliwal and Butt Sohail

Corresponding address:
Mr Jagwinder Dhaliwal, Department of Neurosurgery,
Queen Elizabeth Hospital, Metchley Park Road, Birmingham, B15 2TH, UK.
E-mail: jagdhaliwal@hotmail.com

Intramuscular supraspinatous cysts are rare and usually related to partial supraspinatous tendon tears. Conventional magnetic resonance imaging (MRI) and MRI arthrography are the most commonly used modalities for imaging such rotator cuff pathology. Treatment and follow-up of such cysts is not well documented in the literature. We report the successful conservative management and follow-up of a patient with a supraspinatous cyst. A patient presented with a 2-month history of right shoulder pain following painting and decorating. An MRI scan showed a supraspinatous cyst and thinning of the supraspinatous tendon. The patient was treated conservatively and at 6 months follow-up was found to be asymptomatic. A repeat MRI scan confirmed complete resolution of the supraspinatous cyst.

Keywords

Supraspinatous cyst; MRI; shoulder impingement; intramuscular cyst; rotator cuff tear.

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