Osteochondroma of the Ventral Scapula Causing Scapular Static Winging and Secondary Rib Erosion

Sivananda, P; Bk, Rao; Pv, Kumar; Gs, Ram

doi:10.7860/jcdr/2014/8129.4335

Cited by 14 publications

(18 citation statements)

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“…Traces of direct contact between the lesion and the ribs were apparent, and the bursa was formed between the serratus anterior and the chest wall. These findings are consistent with other reports that described the existence of resorption or erosion of the contacting ribs [ 21 , 22 ].…”

Section: Discussionsupporting

confidence: 93%

Solitary Osteochondroma of the Ventral Scapula Associated with Large Bursa Formation and Pseudowinging of the Scapula: A Case Report and Literature Review

Ogawa

Inokuchi

2018

Case Reports in Orthopedics

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Osteochondroma (OC) is the most common benign bone tumor and may occur on any bone in which endochondral ossification develops. Although scapular OC accounts for less than 5% of the cases of solitary OC, OC is the most common lesion among the tumors and tumor-like lesions of the scapula. OC that develops near the medial scapular border easily causes friction with the ribcage; hence, almost half the number of cases of OC associated with marked bursa formation develops in the ventral scapula. We report a case of a 27-year-old female with a painful OC of the ventral scapular surface associated with large bursa formation and pseudowinging of the scapula. After l2 years of follow-up with magnetic resonance imaging, we confirm that the accompanied bursa left at surgery disappears.

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Section: Discussionsupporting

confidence: 93%

Solitary Osteochondroma of the Ventral Scapula Associated with Large Bursa Formation and Pseudowinging of the Scapula: A Case Report and Literature Review

Ogawa

Inokuchi

2018

Case Reports in Orthopedics

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“…In these 20 articles, some reported surgical techniques. [48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] Similarly, our patient also had snapping scapula and pseudo-winging symptoms. However, perioperative images and radiological studies were demonstrative and didactic.…”

Section: Discussionmentioning

confidence: 79%

Osteochondromas originating from unusual locations complicating orthopedic discipline: case series

Gökkuş

Atmaca

Sağtaş

et al. 2015

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu yazıda, sıra dışı yerleşimli osteokondromlu yedi olgunun klinik, radyolojik ve takip sonuçları bildirildi ve bu sıra dışı yerleşimli osteokondromların nadir ve sıra dışı özelliklerinin önemi vurgulandı. Şubat 2009 -Mart 2014 tarihleri arasında kliniğimizde (Antalya Memorial Hastanesi) tedavi edilen sıra dışı yerleşimli yedi osteokondromlu hasta bildirildi. Hastalar yerleşim yerlerine, bulgularına ve nörovasküler tutulum veya organ basısı varlığına göre sınıflandırıldı. Sonuçlar, mevcut literatür verileri eşliğinde tartışıldı. Hastalarımızın beşinde sıra dışı semptomatoloji vardı. Yedi hastanın altısına cerrahi eksizyon yapıldı. Bir hasta yalnızca planlı poliklinik viziti ile takip edildi. Klinik sonuçlarımız iyi ila mükemmeldi. Olgu serimizde, klavikula tutulumlu bir hastada omuz mekaniğinin bozulmasına bağlı omuz ağrısı; pubik tutulumlu bir diğerinde tıkalı idrar yolu bulguları ve dizüri vardı. Skapula tutulumlu bir hastada yalancı kanat skapula semptomları; fibula başı tutulumlu iki hastanın birinde peroneal sinir sıkışması ve diğerinde tibial sinir sıkışması semptomları vardı. İskiyal ramus tutulumlu bir hastada siyatalji; kaburga tutulumlu bir diğerinde ise herhangi bir semptom olmaksızın osteokondroma bağlı subklavyen arter basısının radyolojik bulguları vardı. Deneyimlerimize göre, fetal dönemde genellikle intramembranöz tipi kemikleşme yoluyla oluşan yassı kemikler (skapula, iliyum, pubik ramus, iskiyum ramus, kaburgalar ve klavikula dahil olmak üzere) nadiren çok daha az etkilenir ve sıklıkla sıra dışı semptomlar ile birlikte seyreder. Fibula başı kaynaklı osteokondromlar, ortopedi cerrahlarına masum görünebilir. Ancak, ortopedi cerrahları bu hasta grubunda tibiofibular sinositoz ve sinir basısına karşı uyanık olmalıdır.Anahtar sözcükler: Kemik doku; kıkırdak; eksizyon; neoplazma; osteokondrom. ABSTRACTHerein, we report clinical, radiological, and follow-up results of seven cases of extraordinary located osteochondromas and highlight the importance of rare and unusual properties of unusual locations of osteochondromas. Seven patients with extraordinary located osteochondromas were treated in our institution (Antalya Memorial Hospital) between the period of February 2009 and March 2014 were reported. The patients were classified according to the localization, symptomatology, and the presence of neurovascular involvement or organ compression. The results were discussed with the existing literature data. Five of our patients had unusual symptomatology. Surgical excision was performed on six of seven patients. One patient was followed with scheduled outpatient visits alone. Our clinical followup results were good to excellent. In our case series, one patient with clavicular involvement had impaired shoulder mechanic which resulted in painful shoulder, while another with pubic ramus involvement had obstructive urination symptoms and dysuria. One patient with scapular involvement had snapping scapula symptoms, while two patients with fibular head involvement had peroneal nerve compression and tibial...

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“…[ 1 ] It is commonly seen in young patients, usually in those who are below 30 years of age, with a male: female ratio of > 1.5: 1. [ 2 ] The long bones of the lower limbs especially around the knee are most commonly affected. After around the knee, the proximal portions of the femur and the humerus are the sites preferentially affected.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] Flat bones such as the pelvis and the scapula are relatively rare sites for osteochondroma with a 3% to 4.5% involvement of the scapula. [ 2 ] Usually, osteochondroma is asymptomatic; however, it may present with features such as pseudowinging, snapping scapula, bursa formation, chronic pain, and cosmetic deformities. [ 3 – 5 ] A few case reports have presented such symptoms of osteochondroma of the ventral scapula.…”

Section: Introductionmentioning

confidence: 99%

Osteochondroma of ventral scapula associated with chest pain due to rib cage compression

et al. 2018

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Rationale:The scapula is relatively rare site for osteochondroma. Scapula osteochondroma is usually asymptomatic, however it may present with features such as pseudowinging, snapping scapula, bursa formation, chronic pain, and cosmetic deformities. To our best knowledge, this is the first report in the English literature about osteochondroma of ventral scapula associated with chest pain due to rib cage compression.Patient concerns:A 14-year-old boy was transferred to the orthopedic clinic from thoracic surgery department with a complaint of intermittent, dull, and diffuse aching pain around left chest wall and back from the past 2 months. The patient was previously diagnosed with multiple osteochondromas on another side; proximal tibia and distal femur.Diagnosis:A radiopaque mass like lesion was observed on the scapula in the posteroanterior view of the chest, and compression of chest wall was also seen. In chest computed tomography (CT), pedunculated outgrowing bony mass was noted in the anterior aspect of the left scapular wing, which showed the continuity of bony cortex and medulla. This bony mass showed the mass effect on the left chest wall, causing left thoracic cavity deformity by making it narrower than the rightInterventions:Surgery was performed under general anesthesia. After the surgery, the arm was immobilized by putting it in an abductor pillow brace for 3 weeks, and during that period pendulum exercise was permitted.Outcomes:The patient's symptoms resolved in the immediate postoperative period. At 1 year's follow-up, the patient was symptom free and there was no evidence of recurrence of the tumor.Lessons:We recommend that in case of patients who have a history of osteochondroma and complaint of chest pain, surgeons should become suspicious of the presence of osteochondroma of the ventral scapula. In this situation, we recommend chest radiography, pulmonary function test, and chest CT for early detection and treatment.

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Osteochondroma of the Ventral Scapula Causing Scapular Static Winging and Secondary Rib Erosion

Cited by 14 publications

References 0 publications

Solitary Osteochondroma of the Ventral Scapula Associated with Large Bursa Formation and Pseudowinging of the Scapula: A Case Report and Literature Review

Solitary Osteochondroma of the Ventral Scapula Associated with Large Bursa Formation and Pseudowinging of the Scapula: A Case Report and Literature Review

Osteochondromas originating from unusual locations complicating orthopedic discipline: case series

Osteochondroma of ventral scapula associated with chest pain due to rib cage compression

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