PMC3505914_01
The scapula cyst raises in the axilla and limits abduction of the right shoulder.
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fig1
The shoulder had limited movements in comparison to the normal side and mostly abduction and forward elevation (Figure 1).
Preoperative scapular view radiograph of the right scapula.
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fig2
Radiographic control showed a radiolucent cystic lesion with multiple diaphragms, well-defined margins, and with expansion of the scapular cortices (Figure 2).
99mTc-MDP bone scintigraphy. Posterior aspect.
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fig3
Blood tests were normal. 99mTc-MDP scintigraphy showed increased uptake of the drug mostly at the periphery of the lesion. (Figure 3) Computed tomography showed the size (oviform with 8 x 8 x 10 cm dimensions) and the extension into the axillary fold as well as the cortical defect at the posterior surface of the cyst (Figure 4).
Computed tomography of the scapula.
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fig4
Blood tests were normal. 99mTc-MDP scintigraphy showed increased uptake of the drug mostly at the periphery of the lesion. (Figure 3) Computed tomography showed the size (oviform with 8 x 8 x 10 cm dimensions) and the extension into the axillary fold as well as the cortical defect at the posterior surface of the cyst (Figure 4).
Postoperative scapular view radiograph of the right scapula. Five-year followup.
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fig5
Five years postoperatively the patient was still free of symptoms, while the radiographic control showed only residual lesion signs (Figure 5).