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Question:
I'm an active volleyball player and have had shoulder pain on and off for years. Earlier this summer I also experienced pain in my shoulder. I didn't give it another thought. Eight months later the pain has slowly gotten worse to a point where it affects my everyday activity. I went to see an orthopedic surgeon and he thought I had a partial tear. My MRI revealed no tear but a "fibrous cyst" which may be causing the pain. What is that and what are my choices?
| Dr. Alleyne |
Dr. Ken Alleyne is currently a Sports Medicine Fellow at the Yale University School of Medicine. He trained at the
Wake Forest University School of Medicine, completed a research fellowship at Harvard-MIT Division of Health Sciences and Technology. His residency training in orthopedic surgery was undertaken at the Howard University Hospital.
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Answer:
It is difficult to know what your cyst may represent without seeing the MRI and examining your shoulder. Fibrous cysts are not usual occurrences in the rotator cuff. It would be prudent to discuss this finding further with your surgeon. Certainly, increasing pain in the shoulder for 8 months warrants further consideration of your condition. Your surgeon and radiologist should be able to provide direction in regards to management based on the MRI appearance and location of the cyst. Your choices may include surgical excision depending on the nature and location of the cyst. If this is a benign cyst and not thought to be part of your pain presentation then other diagnoses would have to be entertained by your medical team as to the cause of your pain and its management.
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