An 82-year-old man presented with neck pain, right upper limb radiculopathy and right shoulder pain. Physical examination revealed a soft lump over the right shoulder joint, as well as reduced range of shoulder movements. On magnetic resonance imaging, the soft lump was shown to be a cystic mass over the acromioclavicular joint and was related to a full-thickness supraspinatus tendon tear. This is the classic geyser sign. The pathophysiology and clinical features of the geyser sign, and its imaging features with various imaging modalities, are discussed.
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http://dx.doi.org/10.11622/smedj.2014015 | DOI Listing |
JSES Rev Rep Tech
May 2024
Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
JSES Rev Rep Tech
May 2023
Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zürich, Switzerland.
J Belg Soc Radiol
July 2023
UZ Leuven, BE.
Leakage of fluid or intra-articular contrast from the subacromial bursa through the acromioclavicular joint, also known as the 'geyser sign', is an uncommon presentation of chronic rotator cuff injury and acromioclavicular joint degeneration.
View Article and Find Full Text PDFCureus
February 2023
Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Novena, SGP.
This case report describes a patient with an enlarging and painless lump over the right acromioclavicular joint (ACJ). MRI showed a synovial cyst superior to the ACJ with a concomitant full-thickness tear of the supraspinatus. The patient underwent needle aspiration of the lump, which yielded 100ml of gelatinous fluid with no microbe growth.
View Article and Find Full Text PDFAnn Rheum Dis
September 2023
Rheumatology Department, Mater Misericordiae University Hospital, Dublin, Ireland.
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