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Surgical treatment of an aseptic fistulized acromioclavicular joint cyst: a case report and review of the literature

机译：无菌性瘘管肩锁关节囊肿的外科治疗：一例报告并文献复习

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摘要

An acromioclavicular joint cyst is an uncommonly reported condition, which seems to result from a massive rotator cuff tear and degenerative osteoarthritis of the acromioclavicular joint. We present the case of an 81-year-old man affected by an acromioclavicular joint cyst, associated to a massive rotator cuff tear, proximal migration of the humeral head and osteoarthritis of the gleno-humeral joint. The mass was 7 × 2.5 cm in size and the overlying skin presented a fistula that drained clear synovial-like fluid. Plain X-ray examination of the left shoulder showed proximal migration of the humeral head migration and osteoarthritis of the gleno-humeral joint, and further MRI evaluation confirmed the clinical diagnosis of a complete rotator cuff tear and observed a large subcutaneous cyst in communication with the degenerative acromioclavicular joint. The patient underwent surgical excision of the cyst and lateral resection of the clavicle to prevent disease recurrence. To the best of our knowledge, this is the first reported case of an acromioclavicular joint cyst complicated by an aseptic fistula resulting from multiple aspirations.
机译：肩锁关节囊肿是一种罕见的病状，似乎是由于肩袖撕裂和肩锁关节变性性骨关节炎所致。我们介绍了一个患有肩锁关节囊肿的81岁男子的病例，该囊肿与巨大的肩袖撕裂，肱骨头近端移行和盂肱关节骨关节炎相关。肿块大小为7×2.5厘米，上面的皮肤有瘘管，引流了类似滑液的透明液体。左肩的X线平片检查显示肱骨头向近端迁移和盂肱关节骨关节炎，进一步的MRI评估证实了肩袖完全撕裂的临床诊断，并观察到与肩周炎相通的大皮下囊肿。肩锁关节变性。该患者接受了手术切除的囊肿和锁骨的侧面切除术，以防止疾病复发。据我们所知，这是首例报告了肩锁关节囊肿并发多发性无菌瘘的病例。

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