Freedom of Mobility Restored
Taking care of a doctor’s dilemma by removing
Paralabral Cyst of shoulder
A 34-year old doctor was suffering from shoulder movement disorder.
He was also continuously feeling weak around his shoulder area.
After multiple consultations at various hospitals, he finally visited
Nanavati Super Speciality Hospital. A detailed study of the MRI
was also done after he was brought to the hospital. The MRI showed
Paralabral Cyst in posterior glenoid (3/3 cm) with compression of
supra scapular nerve and eventual weakness of cuff muscle (infra
spinatus). External rotation was absent and he was unable to do any
The pathology was not easily accessible by open approach. The doctors
decided to employ a unique technique to reach the cyst. Following
Shoulder Arthroscopy, a surgical division was made between the
posterior labrum and glenoid bone and dissection was carried out
further medial. The cyst was then reached with blind approach and
drained. To prevent further cyst formation, the gap was sealed with
labral repair using suture anchors.
Following 3 weeks of splinting, the young doctor underwent supervised
physiotherapy in the hospital. Three months post operative, he has
achieved complete range of motion and full strength of cuff muscles.