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Aspiration of a Large Acromioclavicular Joint Cyst Complicated by Recurrence and Enlargement: A Case Report

This case report describes a patient with an enlarging and painless lump over the right acromioclavicular joint (ACJ). MRI showed a synovial cyst superior to the ACJ with a concomitant full-thickness tear of the supraspinatus. The patient underwent needle aspiration of the lump, which yielded 100ml...

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Detalles Bibliográficos
Autores principales: Tham, Sherlyn Yen Yu, Ng, Poh Hwee Julia, Phua, Sean Kean Ann, Ho, Sean Wei Loong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9999106/
https://www.ncbi.nlm.nih.gov/pubmed/36909086
http://dx.doi.org/10.7759/cureus.34754
Descripción
Sumario:This case report describes a patient with an enlarging and painless lump over the right acromioclavicular joint (ACJ). MRI showed a synovial cyst superior to the ACJ with a concomitant full-thickness tear of the supraspinatus. The patient underwent needle aspiration of the lump, which yielded 100ml of gelatinous fluid with no microbe growth. Despite repeated aspirations, the ACJ cyst continually enlarged beyond its initial size. This case report describes an ACJ cyst that enlarged in size after needle aspiration. The authors suggest surgical alternatives if cyst recurrence is observed after the initial attempt of aspiration.