Paralabral cyst of the shoulder
Paralabral cysts of the shoulder are are a location specific type of paralabral cysts. They are an infrequent finding on MRI, however, are an important diagnostic entity as they may cause a compression neuropathy of the suprascapular or axillary nerves depending on where they occur, along with a variety of other symptoms.
They may occur in around 2-4% of the population and presentation may be commoner in males (especially around the third to fourth decades).
There is a high association with glenoid labral tears.
They most frequently occur along the posterior, anterior, and superior aspects of the glenohumeral joint in decreasing order, with inferiorly located cysts being the least common. The postero-superior location may be the most common 5.
May be seen as a variably sized cyst in close proximity to the glenohumeral joint.
A paralabral cyst is termed when a focal well-defined collection of fluid is seen within 1 cm of the glenoid labrum. They can be unilocular or multilocular. They may be difficult to identify on MR arthrography unless a T2 sequence is performed. Direct communication between a cyst and joint is not commonly seen.
- 1. Zlatkin MB. MRI of the shoulder. Lippincott Williams & Wilkins. ISBN:0781715903. Read it at Google Books - Find it at Amazon
- 2. Magnetic resonance imaging in orthopedic sports medicine. Springer. ISBN:0387488979. Read it at Google Books - Find it at Amazon
- 3. Bianchi S, Martinoli C. Ultrasound of the Musculoskeletal System. Springer. (2007) ISBN:3540422676. Read it at Google Books - Find it at Amazon
- 4. Tung GA, Entzian D, Stern JB et-al. MR imaging and MR arthrography of paraglenoid labral cysts. AJR Am J Roentgenol. 2000;174 (6): 1707-15. doi:10.2214/ajr.174.6.1741707 - Pubmed citation
- 5. Ji JH, Shafi M, Lee YS et-al. Inferior paralabral ganglion cyst of the shoulder with labral tear - a rare cause of shoulder pain. Orthop Traumatol Surg Res. 2012;98 (2): 193-8. doi:10.1016/j.otsr.2011.09.020 - Pubmed citation
- 6. Moon CY, Ji JH, Kim SJ. Multidirectional instability accompanying an inferior labral cyst. Clin Orthop Surg. 2010;2 (2): 121-4. doi:10.4055/cios.2010.2.2.121 - Free text at pubmed - Pubmed citation