Prevalence of shoulder enchondromas on routine MR imaging

Edmund D Hong1, John A Carrino, Kristy L Weber

  • 1School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA. ehong@jhmi.edu

Clinical Imaging
|August 30, 2011
PubMed

Insights

Incidental shoulder enchondromas are found in 2.1% of routine shoulder MR imaging. This finding is crucial for diagnosing proximal humerus lesions, especially those near the physeal plate.

Area of Science:

  • Orthopedic imaging
  • Radiology
  • Bone pathology

Background:

  • Enchondromas are benign cartilage tumors.
  • Incidental findings on medical imaging require characterization.
  • Shoulder MRIs are commonly performed for internal derangements.

Purpose of the Study:

  • To determine the prevalence of incidental enchondromas on shoulder MR imaging.
  • To understand the frequency of these benign tumors in asymptomatic patients.

Main Methods:

  • Retrospective review of 477 consecutive shoulder MR examinations.
  • Analysis for the presence of enchondromas, particularly in the proximal humerus.
  • Correlation with the physeal plate location.

Main Results:

  • Incidental enchondromas were identified in 2.1% of shoulder MRIs.
  • Most detected enchondromas were located adjacent to the physeal plate.
  • This highlights a common incidental finding in routine shoulder imaging.

Conclusions:

  • The prevalence of incidental shoulder enchondromas is 2.1%.
  • Awareness of this prevalence aids in differentiating benign findings from pathologic lesions.
  • Enchondromas abutting the physeal plate are common incidental discoveries on shoulder MRIs.