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Journal of Long-Term Effects of Medical Implants
SJR: 0.145 SNIP: 0.491 CiteScore™: 0.89

ISSN Imprimir: 1050-6934
ISSN On-line: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2019033022
pages 187-190

An Unusual Presentation of a Massive Acromioclavicular Joint Ganglion Cyst Geyser Sign Secondary to Massive Rotator Cuff Tear and Cuff Arthropathy

Spyridon Maris
Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece
Anastasios Tsiotsias
Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece
Theodore Balfousias
Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece
Stavros Angelis
2nd Orthopaedic Department, General Children's Hospital, Athens, Greece; Orthopaedic and Trauma Department, Hellenic Red Cross Hospital, Athens, Greece; Anatomy Department, Medical School, National & Kapodistrian University of Athens, Greece
Lefteri Kosmas
Trauma and Orthopaedic Department, Red Cross Hospital, Athens, Greece
Athanasios Papatheodorou
Radiology Department, Red Cross Hospital, Athens, Greece
Dimitrios K. Filippou
Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodestrian University of Athens, Athens, GRC
Alexandros P. Apostolopoulos
Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece; Trauma and Orthopaedic Department, Ealing Hospital, North West University Healthcare NHS Trust, London, United Kingdom

RESUMO

A Geyser sign is a rare manifestation of acromioclavicular joint (ACJ) ganglion cysts that are seen in patients with massive rotator cuff tears and arthritis of the ACJ. We present a case report of a 70-yr-old male who was presented to our hospital with a massive AC ganglion cyst measuring 7 × 8 cm with normal shoulder function tests. Imaging studies revealed a massive rotator cuff tear, advanced cuff arthropathy, degeneration of the ACJ, and a Geyser sign (seen with magnetic resonance imaging). The cyst was initially aspirated but recurred, so open debridement distal clavicle resection and ganglion cyst excision were performed. Eight months following debridement, the patient visited the outpatient department with cyst recurrence and limited shoulder movement. A reverse shoulder arthroplasty was performed with good clinical results.

Referências

  1. Purohit S, Keny S, Raja B, Marathe N. Massive acromio-clavicular joint ganglion cyst associated with cuff tear arthropathy and acromioclavicular joint arthritis with normal functional shoulder: a case report. J Clin Orthop Trauma. 2019 May-Jun;10(3):522-5. doi: 10.1016/j.jcot. 2019.03.001. .

  2. Negi RS, Gogoi B, Randhawa AS. MR Geyser sign in chronic rotator cuff tears. Med J Armed Forces India. 2018 Jul;74(3):304-6. doi: 10.1016/j.mjafi.2017.07.005. .

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