{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:11:42Z","timestamp":1786122702115,"version":"build-2736575974"},"reference-count":38,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Spinoglenoid notch cysts can cause suprascapular nerve compression, posterior shoulder pain, and infraspinatus weakness. Although multiple open and arthroscopic operative approaches have been described, the optimal management strategy remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To (1) analyze existing evidence on the management of spinoglenoid notch cysts, (2) compare outcomes among different operative approaches, and (3) provide a practical management algorithm based on cyst characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A systematic review and meta-analysis were conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using the PubMed, Scopus, and Embase databases from inception to August 2025. Eligible studies included clinical reports on the operative or nonoperative management of spinoglenoid notch cysts, with postoperative outcomes. Data on patient characteristics, procedures, patient-reported outcome measures, recurrence, reoperation, and complication rates were extracted. Random- and common-effects models were used for pooled analyses. Risk of bias was assessed using the Methodological Index for Non-Randomized Studies criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 32 studies comprising 562 shoulders met the inclusion criteria. Overall risk of bias was moderate. Arthroscopic decompression with labral repair was the most common intervention (n = 271 [48%]). Across all studies, significant improvements were observed in the American Shoulder and Elbow Surgeons, Constant-Murley, and visual analog scale pain scores. Meta-analysis revealed the lowest cyst recurrence rate for arthroscopic decompression with labral repair (3% [95% CI, 0.02-0.06]), compared with arthroscopic decompression alone (12%), arthroscopic labral repair alone (6%), and open decompression (12%). Reoperation rates were lowest with open decompression (0%) and arthroscopic labral repair (3%-4%), and highest with arthroscopic decompression without labral repair (9%). Complication rates were uniformly low across all techniques (&lt;5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Arthroscopic decompression with concurrent labral repair demonstrated favorable outcomes and low recurrence rates in properly selected patients with spinoglenoid notch cysts. Both arthroscopic and open approaches yield excellent pain relief and functional recovery. Arthroscopic decompression with labral repair offers a safe, effective, and minimally invasive option for nonloculated cysts. For very large and\/or loculated cysts, open decompression with removal of the cyst structure itself should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671261456937","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T12:20:50Z","timestamp":1785846050000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["How to Manage the Spinoglenoid Notch Cyst: A Systematic Review and Meta-analysis"],"prefix":"10.1177","volume":"14","author":[{"given":"Abdullah B.","family":"Chandasir","sequence":"first","affiliation":[{"name":"Medical College of Georgia, Augusta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan M.","family":"Lew","sequence":"additional","affiliation":[{"name":"Midwest Orthopedics at Rush, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5205-048X","authenticated-orcid":false,"given":"Lord J.","family":"Hyeamang","sequence":"additional","affiliation":[{"name":"Rush Medical College, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asim A.","family":"Khan","sequence":"additional","affiliation":[{"name":"Rush Medical College, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurudeen K.","family":"Alli","sequence":"additional","affiliation":[{"name":"Rush Medical College, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaamin B.","family":"Hussain","sequence":"additional","affiliation":[{"name":"Midwest Orthopedics at Rush, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory P.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Midwest Orthopedics at Rush, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8662-3131","authenticated-orcid":false,"given":"Grant E.","family":"Garrigues","sequence":"additional","affiliation":[{"name":"Midwest Orthopedics at Rush, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000201155.44572.9b"},{"key":"e_1_3_2_3_2","article-title":"Suprascapular neuropathy. Variability in the diagnosis, treatment, and outcome","volume":"386","author":"Antoniou J","year":"2001","unstructured":"Antoniou J, Tae SK, Williams GR, Bird S, Ramsey ML, Iannotti JP. Suprascapular neuropathy. Variability in the diagnosis, treatment, and outcome. Clin Ortho Relat Res. 2001;386:131\u201313","journal-title":"Clin Ortho Relat Res"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20091020-29"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","unstructured":"Baums MH Seil R Kettler M Steckel H Schultz W Klinger HM. Treatment option in a SLAP-related ganglion cyst resulting in suprascapular nerve entrapment. Arch Ortho Trauma Surg. 200;126(9):621\u2013623. https:\/\/doi.org\/10.1007\/s00402-005-0067-4","DOI":"10.1007\/s00402-005-0067-4"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2469-0"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9082331"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(03)00381-5"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.26354"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2015036"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.01.008"},{"issue":"2","key":"e_1_3_2_12_2","article-title":"Open surgical decompression for large multiloculated spinoglenoid notch ganglion cyst with suprascapular nerve neuropathy","volume":"13","author":"Jerome TJ","year":"2021","unstructured":"Jerome TJ, Sabtharishi V, Sk T. Open surgical decompression for large multiloculated spinoglenoid notch ganglion cyst with suprascapular nerve neuropathy. Cureus. 2021;13(2):e13300.","journal-title":"Cureus"},{"key":"e_1_3_2_13_2","doi-asserted-by":"crossref","unstructured":"Ji JH Park SE Suh DW Han YH Oh S. Comparisons between treatment of isolated posterosuperior paralabral cysts and simultaneous treatment of cysts combined with associated shoulder pathologies: arthroscopic treatment of posterosuperior paralabral cysts. Arch Ortho Trauma Surg. 2003;143(2):665\u2013675. https:\/\/doi.org\/10.1007\/s00402-021-04128-z","DOI":"10.1007\/s00402-021-04128-z"},{"key":"e_1_3_2_14_2","doi-asserted-by":"crossref","unstructured":"Jodoin Z Sims S Petsche T Lucas A. Paralabral cysts with associated infraspinatus and teres minor denervation: A case report. J Ortho Case Rep. 2024;14(11):40\u201344. https:\/\/doi.org\/10.13107\/jocr.2024.v14.i11.490","DOI":"10.13107\/jocr.2024.v14.i11.4908"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13142364"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.01.013"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.05.034"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.47102\/annals-acadmedsg.V36N12p1032"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0443-y"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.03.009"},{"key":"e_1_3_2_21_2","doi-asserted-by":"crossref","unstructured":"Meng B Zhang Z Li W Wang Q Cao J. Arthroscopic management of spinoglenoid notch cysts: with and without labral lesions. BMC Musculoskelet Disord 2025;26(1):796. https:\/\/doi.org\/10.1186\/s12891-025-09074-0","DOI":"10.1186\/s12891-025-09074-0"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(97)70053-3"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0970-1"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.127094"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1661-5"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.05.004"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2023.06.004"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001307010129"},{"key":"e_1_3_2_29_2","doi-asserted-by":"crossref","unstructured":"Sakamoto Y Kido A Inoue K Tanaka Y. Gas-containing paralabral ganglion cyst of the shoulder: A case report. JBJS Case Connect 2015;5(2):e42. https:\/\/doi.org\/10.2106\/JBJS.CC.N.00172","DOI":"10.2106\/JBJS.CC.N.00172"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-7-16"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01534"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.031"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.05.017"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.06.056"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.190.3.8115605"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.6.1741707"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.03.019"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.11.025"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.060"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671261456937","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671261456937","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671261456937","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T11:59:16Z","timestamp":1786103956000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671261456937"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":38,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/23259671261456937"],"URL":"https:\/\/doi.org\/10.1177\/23259671261456937","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"23259671261456937"}}