Labral Cyst Decompression and Repair
Paralabral cysts are swellings that form around the shoulder joint's socket. It is uncommon to witness direct connection between a cyst and a joint. When a localised well-defined collection of fluid is detected outside the joint under labrum rips, it is referred to as a paralabral cyst. They can be unilocular (single-chambered) or multilocular and can occur anywhere around the joint (having many compartments or cavities). Although paralabral cysts themselves may not cause pain, the presence of labral tears in conjunction with the cysts does. These cysts can grow to be large enough to obstruct some of the shoulder's most vital nerves.
Treatment of paralabral cyst:
The severity of the pain and loss of function determines how the problem is treated. If the patient does not have any pain, shoulder rehabilitation to maximise function is the only therapeutic option. If the discomfort is severe enough to impede shoulder function, surgery is indicated. The arthroscopic repair of the labral tear, as well as decompression of the nerve and cyst drainage, is used to treat paralabral cysts that cause nerve compression. Labral repair has been shown to prevent the occurrence of paralabral cysts while also improving shoulder discomfort and function.
To summarise, shoulder specialists must maintain a high index of suspicion for paralabral cysts with labral tears in patients who have chronic shoulder discomfort that has not responded to prior treatment options. Early detection and treatment of these lesions can result in a positive clinical outcome and reduce the risk of undetected chronic lesions.
