{"title":"Case Report: Spinoglenoid notch cysts associated with type II SLAP lesions: a report of two cases and review of the literature.","authors":"Jianan Ouyang, Weiming Guo, Fen Luo","doi":"10.3389/fsurg.2026.1792792","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Spinoglenoid notch cysts associated with type II superior labrum anterior-to-posterior (SLAP) lesions are an uncommon cause of suprascapular nerve compression.</p><p><strong>Case presentation: </strong>This report presents two patients with posterior shoulder pain, weakness of inverted glenohumeral external rotation, and isolated infraspinatus atrophy. Magnetic resonance imaging confirmed spinoglenoid notch cysts communicating with type II SLAP lesions in both cases. Both patients underwent arthroscopic labral repair through standard SLAP portals, with intra-articular decompression of the cysts through the pre-existing capsular defect, avoiding additional dissection within the spinoglenoid notch. Postoperative rehabilitation and follow-up imaging demonstrated complete resolution of the cysts, restoration of infraspinatus muscle bulk, and recovery of external rotation strength.</p><p><strong>Conclusions: </strong>These cases demonstrate that arthroscopic labral repair, combined with indirect cyst decompression, can achieve complete cyst resolution and muscle recovery for selected patients. The findings support the potential reversibility of compression-related muscle atrophy following timely nerve decompression and emphasize the importance of accurate diagnosis and individualized management.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"13 ","pages":"1792792"},"PeriodicalIF":1.9000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13693992/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fsurg.2026.1792792","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Spinoglenoid notch cysts associated with type II superior labrum anterior-to-posterior (SLAP) lesions are an uncommon cause of suprascapular nerve compression.
Case presentation: This report presents two patients with posterior shoulder pain, weakness of inverted glenohumeral external rotation, and isolated infraspinatus atrophy. Magnetic resonance imaging confirmed spinoglenoid notch cysts communicating with type II SLAP lesions in both cases. Both patients underwent arthroscopic labral repair through standard SLAP portals, with intra-articular decompression of the cysts through the pre-existing capsular defect, avoiding additional dissection within the spinoglenoid notch. Postoperative rehabilitation and follow-up imaging demonstrated complete resolution of the cysts, restoration of infraspinatus muscle bulk, and recovery of external rotation strength.
Conclusions: These cases demonstrate that arthroscopic labral repair, combined with indirect cyst decompression, can achieve complete cyst resolution and muscle recovery for selected patients. The findings support the potential reversibility of compression-related muscle atrophy following timely nerve decompression and emphasize the importance of accurate diagnosis and individualized management.
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
