A Solitary Ventral Scapular Osteochondroma causing Pseudo-winging of Scapula: A Case Report

Pawar, Eknath; Modi, Nihar; Yadav, Amit Kumar; Mhatre, Jayesh; Khemkar, Sachin; Mishra, Shaswat

doi:10.13107/jocr.2021.v11.i07.2328

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…However, open resection from the medial or lateral border remained the standard approach in this case (12)(13)(14)(15)(16)(17)(18)(19)(20) . Ventral osteochondromas cannot be seen from the dorsal side and more associated muscles that attach to the scapula need to be resected, especially in large osteochondromas.…”

Section: Discussionmentioning

confidence: 99%

Osteochondroma at the Ventro-Medial Surface of the Scapula Causing Pseudo Winging Scapular Resection with Computer-Assisted Navigation: A Case Report and Literature Review

Nakornnoi

2024

JseaOrtho

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Purpose: Osteochondromas, the most common benign bone tumors, primarily occur in the long bones, with scapular osteochondromas constituting less than 1% of cases. A unique challenge in ventral scapular osteochondromas is limited visibility from the dorsal side. Computer-assisted surgery, which is widely employed in tumor surgery is a promising solution for minimally invasive resection with reduced muscle injury. Methods: We present the case of a thirteen-year-old female with a ventral scapular osteochondroma that cause winging and snaping of her left arm. The patient underwent computer-assisted surgery under general anesthesia in the prone position. The procedure involved a minimal incision over the crest of the scapular spine, enabling precise identification of the tumor from the dorsal side using navigation tools. Results: The tumor, identified as an osteochondroma on CT scans, was successfully resected with minimal soft tissue damage. Postoperatively, the patient's arm was immobilized for two weeks, followed by a pain-free return to normal activity. Radiographic evaluation confirmed complete tumor removal. Conclusions: Computer-assisted navigation can help locate the ventral osteochondroma of the scapula with minimal soft tissue damage and a quicker recovery time.

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Section: Discussionmentioning

confidence: 99%

Osteochondroma at the Ventro-Medial Surface of the Scapula Causing Pseudo Winging Scapular Resection with Computer-Assisted Navigation: A Case Report and Literature Review

Nakornnoi

2024

JseaOrtho

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“…Diagnosis of pseudo-winging due to scapular osteochondroma is often missed [ 18 ]. A summary of recent case reports published is presented in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

Unveiling Scapular Pseudo-winging: A Case Report on Ventral Osteochondroma of the Scapula in a 21-year-old

Seth,

Naqvi,

Yadav

et al. 2023

jocr

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Introduction: Scapular pseudo-winging caused by ventral osteochondromas is a rare condition that has been reported in only a handful of cases. This case report describes a 21-year-old male patient with scapular pseudo-winging due to ventral osteochondromas of the scapula. This report adds to the limited literature on this topic and highlights the importance of considering ventral osteochondromas as a possible cause of scapular pseudo-winging. Case Report: A 21-year-old male presented with a swelling on his left upper back that had gradually increased in size over the past 10 years. Physical examination revealed a bony hard swelling arising from the medial border of the scapula, with associated scapular pseudo-winging. Diagnostic imaging confirmed the presence of two ventral osteochondromas located on the body of the scapula. Surgical excision was performed to address the patient’s cosmetic concerns. Conclusion: This case report highlights the importance of considering ventral osteochondromas as a possible cause of scapular pseudo-winging. It contributes to the existing literature by documenting a rare presentation and providing insights into the clinical course, diagnostic imaging, and surgical management of this condition. By raising awareness among tumor surgeons and orthopedic surgeons, this report may aid in early recognition and appropriate management of scapular pseudo-winging cases caused by ventral osteochondromas. Furthermore, this report expands our understanding of the etiology and treatment options for scapular pseudo-winging, potentially benefiting patients across various clinical specialties. Keywords: Winging of scapula, ventral osteochondroma, osteochondroma, scapula, pseudo-winging

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“…However, this technique is not preferable in potentially malignant lesions due to the risk of spillage into the joint, which decreases the likelihood of limb salvage [ 12 ]. The risk of malignant transformation has been estimated at 1–2%, with increasing risk if multiple areas are involved [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Excision of Ventral Osteochondroma of the Scapula: A Case Report

Aldebeyan¹,

Alshayhan²,

Almashouq³

et al. 2022

JOCR

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Introduction: Osteochondromas are the most common benign lesions of the bone. They usually affect flat bones such as the scapula. Case Report: We report a case of a left-handed 22-year-old male with no previous medical history, who came to the orthopedic outpatient clinic complaining of pain in the right shoulder, snapping, poor cosmetic look, and limited range of motion. Magnetic resonance imaging revealed an osteochondroma of the scapula. The tumor was surgically excised using a muscle splitting technique in line with the muscle fibers. Histopathological evaluation of the excised tumor confirmed the diagnosis of an osteochondroma. Conclusion: Surgical excision of the osteochondroma using muscle splitting in line with the muscle fibers gave good results in terms of patient satisfaction and cosmetic appearance. Delayed diagnosis and management may increase the risk of symptoms such as snapping or winging of the scapula. Keywords: Osteochondroma, snapping, winging, benign lesions, scapula, pain.

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A Solitary Ventral Scapular Osteochondroma causing Pseudo-winging of Scapula: A Case Report

Cited by 6 publications

References 13 publications

Osteochondroma at the Ventro-Medial Surface of the Scapula Causing Pseudo Winging Scapular Resection with Computer-Assisted Navigation: A Case Report and Literature Review

Osteochondroma at the Ventro-Medial Surface of the Scapula Causing Pseudo Winging Scapular Resection with Computer-Assisted Navigation: A Case Report and Literature Review

Unveiling Scapular Pseudo-winging: A Case Report on Ventral Osteochondroma of the Scapula in a 21-year-old

Minimally Invasive Excision of Ventral Osteochondroma of the Scapula: A Case Report

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