A Triple Shoulder Pathology: Paralabral Cyst Associated with SLAP Lesion and Subacromial Impingement - A Case Report

Shoulder pain is a common yet diagnostically challenging condition. Combined pathologies, such as a SLAP lesion, paralabral cyst, and subacromial impingement, are rare but significant causes of chronic pain and dysfunction. A 24-year-old male patient experienced chronic left shoulder pain and difficulty lifting the arm following a prior clavicle injury. MRI showed supraspinatus tendinopathy, a large paralabral cyst, and subacromial bursitis. Arthroscopic exploration confirmed a type II SLAP lesion with associated subacromial impingement. The patient underwent cyst excision, SLAP repair with an absorbable anchor, and subacromial decompression. Postoperative rehabilitation focused on early mobilization with assisted forward flexion. One month after surgery, the patient regained near-normal shoulder function with complete pain relief and no complications. Triple shoulder pathology is uncommon but can result from trauma or previous surgical procedures. MRI plays a crucial role in diagnosis, while arthroscopy allows direct visualization and targeted treatment. A structured rehabilitation plan is essential to restore shoulder function and prevent chronic disability. Thorough evaluation and multimodal management, including imaging, arthroscopy, and rehabilitation, are vital in addressing complex shoulder lesions for optimal recovery. Keywords: paralabral cyst, type II SLAP lesion, subacromial impingement, arthroscopy, rehabilitation