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ABSTRACT: Paralabral ganglion cysts of the shoulder are rare, and their pathogenesis is similar to that of meniscal cysts. The paralabral cysts are most frequently reported along the posterior, superior, and anterior aspects of the glenohumeral joint and are uncommon inferiorly to the joint. These cysts rarely become evident clinically, unless they cause compression of surrounding structures, i.e. nerve.
We report a retrospective series of five patients with inferior paralabral ganglion cysts of the shoulder without compression of the surrounding nerve which were treated during the period from March 2007 to December 2009. All these patients presented with only chronic shoulder pain as their chief complaint, and preoperative MRI showed the cyst over the inferior aspect of a torn glenoid labrum. All patients were treated by arthroscopic cystic decompression with labrum repair. All patients were re-evaluated with MRI performed at an average of 15 months postoperatively. The clinical outcome, including the Constant score, was assessed for all patients at a median of 16 months postoperatively.
All the five patients had remission of pain and were satisfied with the shoulder function. The postoperative MRI in all patients showed no labral cyst recurrence. The median Constant score improved from a preoperative level of 81.5 points to 98.0 points at last follow-up.
This study demonstrates that, in the absence of any nerve compression symptoms around the shoulder joint, inferior paralabral cysts with labral tear also be considered in the differential diagnosis of chronic shoulder pain. Arthroscopic repair of the cyst with repair of the labrum can lead to the disappearance of symptoms. Knowledge of this clinical condition and its imaging features is critical for a correct diagnosis of this uncommon cause of chronic shoulder pain.
Level IV. Retrospective therapeutic study.
Orthopaedics & Traumatology Surgery & Research 02/2012; 98(2):193-8. · 0.94 Impact Factor
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ABSTRACT: Transcarpal fractures and dislocations in children are rarely reported in the orthopedics literature. This is a report of a 10-year-old boy who sustained a trans-scaphoid perilunate dislocation with fractures across the carpal structure: these included injuries to the scaphoid, capitate and triquetrum bones. Treatment consisted in a closed reduction for the dislocation and using the dorsal approach of an open reduction with internal fixation of the fractures. The injury healed well with a full return of good wrist function. This unusual pattern of injury is described so that it may be more readily appreciated in the future.
Chirurgie de la Main 02/2010; 29(1):32-5. · 0.53 Impact Factor
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ABSTRACT: We have demonstrated a tunable multiwavelength self-seeded Brillouin-erbium fiber laser (BEFL) without externally Brillouin pumping. In this scheme, the stable multiwavelength comb can be produced within a ∼45-nm wavelength tuning range through adjusting the polarization controllers (PCs) in a high-birefringent Sagnac loop mirror. The generation of ∼200-line Stokes comb has been achieved by adjusting PCs under bidirectional pumping of two laser diodes, which is the largest wavelength number to the best of our knowledge. The effect of 980 nm pump power on the multiwavelength generation was also investigated.
Optics Communications 02/2008; 281(3):452–456. · 1.49 Impact Factor
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ABSTRACT: We have demonstrated a novel multiwavelength Brillouin-erbium fiber laser (BEFL), in which the Brillouin pump is self-excited within the linear cavity, instead of the injection from the external cavity or direct generation in the intracavity. By using this simple scheme, the generation of more than 160 Brillouin Stokes lines has been experimentally demonstrated, which is the largest one achieved in BEFLs to the best of our knowledge. Also, the single longitudinal mode operation and the low noise performance of output wavelength line have been confirmed. Meanwhile, the experiment demonstrates that the BEFL performs good stability on both the operating wavelengths and the output power of each wavelength.
Optics Express 11/2006; 14(22):10233-8. · 3.59 Impact Factor
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ABSTRACT: We experimentally demonstrate an all-fiber passively Q-switched erbium fiber laser by the symmetrical nonlinear optical loop mirror with nonlinear polarization rotation. And this Q-switched laser has the all-fiber nature.
Optical Communication, 2005. ECOC 2005. 31st European Conference on; 10/2005
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ABSTRACT: We propose and demonstrate a self-seeded multiwavelength Brillouin-erbium fiber laser with an internally self-excited Brillouin pump, which is achieved by incorporation of a length of single-mode fiber together with a Sagnac loop mirror into a fiber ring cavity. In this simple scheme the Brillouin pump is self-excited in the fiber ring cavity and then used to seed the Brillouin multiwavelength comb in the single-mode fiber. Stable generation of more than 120 Brillouin Stokes wavelengths with relatively uniform amplitudes is demonstrated with this scheme. It is also shown that such a self-seeded Brillouin laser has good stability and repeatability.
Optics Letters 04/2005; 30(5):486-8. · 3.40 Impact Factor
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ABSTRACT: A new design of all-optical gain-clamped L-band double-pass (DP) erbium-doped fiber amplifier (EDFA) has been proposed and demonstrated, in which the input port and the odd-channel output port of an interleaver are connected with the DP configuration EDF through a circulator to form lasing ring cavity for clamping gain, and the even port is utilized to export the amplified signals. The low noise figure can be achieved because the lasing power copropagates with the signals, and it is exported separately from the amplified signal thanks to interleaver. Meanwhile, the fiber Bragg grating incorporated in DP configuration suppresses the backward amplified spontaneous emission generation, and therefore improves efficiently the gain and lowers the noise figure. In such a way, the clamped gain of 16.3 dB with a variation below 0.2 dB and noise figure below 5 dB are achieved in the new L-band all-optical gain-clamped EDFA.
Journal of Lightwave Technology 04/2005; · 2.78 Impact Factor
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ABSTRACT: An obvious improvement on both the gain and noise figure (NF) is demonstrated in the new double-pass L-band erbium-doped fiber amplifier (EDFA) with incorporating a fiber Bragg grating (FBG). Compared with the conventional L-band EDFAs, the gain is improved by about 6 dB in the new configuration for a 1580-nm signal with an input power of -30 dBm at 60 mW of 980-nm pump power. It is important that the NF is greatly reduced in the new configuration, as the FBG greatly compresses the backward amplified spontaneous emission. For the economical utility of pump power and erbium-doped fiber length, such a configuration may be a very competitive candidate in the practical applications of L-band EDFAs.
IEEE Photonics Technology Letters 05/2004; · 2.19 Impact Factor
