Scapular osteochondroma with winging: A case report. (2018)

• Record Type: Journal Article
• Authors: Alatassi, Raheef; Koaban, Saeed; Almugebel, Ismaeal; Alshehri, Abdullah
• Is Part Of: International journal of surgery case reports. Volume 45(2018)
• Page Start: 138
• Page End: 142
• Publication Date: 2018
• Subjects: Osteochondroma -- Scapula -- Subscapular -- Winging scapula -- Bone neoplasm -- Tumour -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2018.03.034
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Osteochondroma is a benign cartilaginous tumour that rarely affects the scapula. We present a rare case of osteochondroma with winging of scapula, present in his fourth decade of life. This symptomatic scapular osteochondroma exhibited positive radiological findings. The patient was treated surgically and recovered fully, with no recurrence. This report increases awareness of unusual osteochondroma sites and features. Abstract: Introduction: Osteochondroma, a type of cartilaginous tumour, is the most common benign tumour affecting the bone. These tumours usually arise around the knee, proximal humerus, and pelvis, but very rarely occur at the scapula. Osteochondromas are usually asymptomatic and uncomplicated, but must be treated by surgical resection. Presentation of case: In this report, we present a rare case of a symptomatic scapular osteochondroma associated with scapular winging in a 30-year-old man. This tumour exhibited positive radiological findings and was treated surgically, leading to a complete resolution of the patient's symptoms with no history of recurrence. Discussion: This case was unique because although the patient presented in his fourth decade of life, he had not noticed any signs indicative of lesional growth during adolescence and the maturation process. Additionally, this case was symptomatic and involved an unusual site. Conclusion: By reporting this rare case of a ventral-side scapular osteochondroma that presented with scapular winging, we aim to increase the awareness of the unusual manifestations of osteochondroma, particularly atypical sites, signs, and symptoms. Furthermore, we have described the surgical treatment of this case in detail to assist other surgeons who face similar cases.