Abstract
Ganglion cysts usually occur around the wrist. Occasionally, they can also occur around the shoulder in the spinoglenoid and suprascapular notches. Rarely they can be found on the long head of biceps as it traverses the glenohumeral joint. Such lesions are usually diagnosed on MRI and might need minor surgery. We present the case of a young athlete with a rare location of ganglion cyst, successfully diagnosed and managed non-invasively by using sonography. This represents a time and cost-conscious approach as compared to traditional methods.
Highlights
Ganglion cysts are articular or tendon-sheath lesions possibly originating as a result of herniation of the synovium or arising from the tendon fibrils
There have been a few case reports/series about biceps ganglion cyst in the shoulder joint visualized on magnetic resonance imaging (MRI), but no reported cases exist of the use of ultrasound for these
We report a unique case of a 13-year-old female gymnast who was found to have a ganglion cyst in the bicipital groove managed through sonography
Summary
Ganglion cysts are articular or tendon-sheath lesions possibly originating as a result of herniation of the synovium or arising from the tendon fibrils. They occur mostly in women aged 30-50 years, most commonly around the wrist and are occasionally associated with trauma as well [1]. There have been a few case reports/series about biceps ganglion cyst in the shoulder joint visualized on MRI, but no reported cases exist of the use of ultrasound for these. There was periscapular pain on palpation of the right scapula as well Both shoulders had normal strength and range of motion in all planes but moderate scapular dyskinesis was noted. Repeat MRI six months after the procedure was within normal limits
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