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Osteochondroma of the scapula
J F Galate1, J M Blue, R W Gaines
1Department of Surgery, Cleveland Clinic Foundation, USA.
Missouri Medicine
|February 1, 1995
Summary
Osteochondromas are common bone tumors, frequently found in the femur. This case highlights an osteochondroma of the scapula, a rare but most common tumor in that location, causing shoulder pain and limited motion.
Area of Science:
- Orthopedics
- Oncology
- Radiology
Background:
- Osteochondromas are the most prevalent primary bone tumors, typically occurring in the distal femur.
- They constitute a significant portion of benign and overall bone tumors.
- While rare, osteochondromas are the most frequent tumor type affecting the scapula.
Observation:
- The case involves a 14-year-old female presenting with left shoulder pain and restricted range of motion.
- Clinical examination revealed signs suggestive of a scapular lesion.
- Computed tomography (CT) was utilized for detailed lesion characterization.
Findings:
- The patient was diagnosed with an osteochondroma of the scapula.
- This diagnosis aligns with the scapula being the most common site for osteochondromas despite their general rarity in this location.
- Symptoms included shoulder pain and limited range of motion, with potential for scapular winging.
Implications:
- This case underscores the importance of considering osteochondromas even in unusual locations like the scapula.
- Accurate diagnosis, often requiring advanced imaging like CT, is crucial for appropriate management.
- Understanding the clinical presentation aids in early detection and treatment of scapular osteochondromas.