1.Isolated Infraspinatous Atrophy from a Spinoglenoid Cyst: A Case Report
Gomez DN ; Zulkahini NF ; Ahmad AR ; Solayar GN
Malaysian Orthopaedic Journal 2022;16(No.1):142-145
We present a case of a 26-year-old gentleman with isolated
right infraspinatus atrophy arising from a spinoglenoid cyst
of the right shoulder. He presented two years following his
shoulder injury and failed conservative rehabilitation alone.
At initial arthroscopic surgery, a superior labral anterior to
posterior (SLAP) tear was diagnosed and the spinoglenoid
cyst was debrided without formal labral repair. The patient’s
condition did not improve, and second arthroscopy was
performed three months following the first with suture
anchor repair of the labral tear and cyst decompression. Postoperative magnetic resonant imaging (MRI) scans showed
complete resolution of the cyst and recovery of infraspinatus
muscle bulk at six months. At final follow-up 18 months post
SLAP repair, he has regained full shoulder function and has
returned to recreational sports. Our case highlights the
importance of proper management of SLAP tears in
resolving spinoglenoid cysts by demonstrating the outcomes
from two different surgical methods in the same patient.
2.Outcome of Endoprosthesis used in Limb Salvage Surgery in a Malaysian Orthopaedic Oncology Centre
Ng YH ; Chai YC ; Mazli N ; Jaafar NF ; Ibrahim S
Malaysian Orthopaedic Journal 2024;18(No.1):60-65
Introduction: To describe the duration of survival among
bone tumour patients with endoprosthesis reconstruction and
to determine frequency of implant failure, revision of
surgery, and amputation after endoprosthesis reconstruction.
Materials and methods: A retrospective cross-sectional
review of all patients with either primary bone tumour or
secondary bone metastases treated with en bloc resection and
endoprosthesis reconstruction from January 2008 to
December 2020.
Results: A total of 35 failures were recorded among the 27
(48.2%) patients with endoprostheses. Some of the patients
suffered from one to three types of modes of failure on
different timelines during the course of the disease. Up to
eight patients suffered from more than one type of failure
throughout the course of the disease. Out of all modes of
failure, local recurrence (type 5 failure) was the most
common, accounting for 25.0% of all failure cases. Four
patients (7.1%) eventually underwent amputation, which
were either due to infection (2 patients) or disease
progression causing local recurrence (2 patients).
Conclusion: The overall result of endoprosthesis
reconstruction performed in our centre was compatible with
other centres around the world. Moreover, limb salvage
surgery should be performed carefully in a selected patient
group to maximise the benefits of surgery.