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Scapular osteochondroma presenting with exostosis bursata
F Cuomo1, K Blank, J D Zuckerman
1Hospital for Joint Disease, New York City.
Bulletin (Hospital for Joint Diseases (New York, N.Y.))
|January 1, 1993
Summary
An osteochondroma, a benign bone tumor, can cause scapular winging after shoulder injury. Surgical removal of the osteochondroma effectively resolved symptoms, restoring normal shoulder function.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Oncology
- Sports Medicine
Background:
- Scapular winging is a condition characterized by abnormal protusion of the scapula.
- Osteochondromas are benign bone tumors that can occur in various locations, including the shoulder girdle.
- While often asymptomatic, osteochondromas can become symptomatic following trauma.
Observation:
- A 33-year-old male experienced acute scapular winging after a shoulder girdle injury.
- Radiographic evaluation revealed a scapular osteochondroma, previously asymptomatic.
- The patient presented with a large exostosis bursata associated with the osteochondroma.
Findings:
- Surgical resection of the scapular osteochondroma was performed.
- Post-operatively, the patient experienced complete resolution of scapular winging.
- All associated signs and symptoms, including the exostosis bursata, resolved after surgery.
Implications:
- This case highlights that previously asymptomatic osteochondromas can manifest symptoms after injury.
- Surgical excision is an effective treatment for symptomatic scapular osteochondromas causing nerve or mechanical issues.
- Early diagnosis and surgical intervention can lead to favorable outcomes in patients with osteochondroma-induced scapular dysfunction.