2021
DOI: 10.7759/cureus.17051
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Rare Case of Osteochondroma on the Dorsal Aspect of the Scapula

Abstract: Osteochondroma, often referred to as exostosis, is the most common benign bone tumor characterized by a bony protuberance surrounded by a cartilaginous surface. Most osteochondromas are found on the metaphysis of long bones, with the dorsal aspect of the scapula being a rare site of occurrence for an exostosis. Radiographic imaging, preferably through MRI or CT, assists in the identification of benign growth; however, a definitive diagnosis requires a biopsy. Open surgical resection and arthroscopic excision a… Show more

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Cited by 7 publications
(12 citation statements)
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“…Mostly, osteochondromas are identified in the first or second decades of life, given that the tumor's growth usually stops when the physis closes; moreover, they are mostly asymptomatic [67,68]. Our case presents a symptomatic mass in a two-year-old noted by her mother, which in some ways is similar to multiple other papers found in the literature from different age groups, which had a similar presentation (Table 1) [14,42,43,[58][59][60][61]. The novelty of our case is in the age of presentation, which is extremely rare in the literature.…”
Section: Discussionsupporting
confidence: 79%
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“…Mostly, osteochondromas are identified in the first or second decades of life, given that the tumor's growth usually stops when the physis closes; moreover, they are mostly asymptomatic [67,68]. Our case presents a symptomatic mass in a two-year-old noted by her mother, which in some ways is similar to multiple other papers found in the literature from different age groups, which had a similar presentation (Table 1) [14,42,43,[58][59][60][61]. The novelty of our case is in the age of presentation, which is extremely rare in the literature.…”
Section: Discussionsupporting
confidence: 79%
“…Malignant transformation is rare and commonly associated with hereditary exostosis [45]. Most reported cases in the literature present an anterior scapular location [47][48][49][50][51][52][53][54][55][56][57] and there are very few reports of posterior surface presentation, as we have reported in this paper [14,42,43,[58][59][60][61], which further explains why our presented case is unique. Very little information is available regarding dorsal scapular osteochondromas.…”
Section: Introductionmentioning
confidence: 60%
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“…Osteochondromas, which typically affect the metaphysis of long bones, account for more than forty percent of benign bone malignancies. [1], [2] Ninety percent of osteochondromas are located on the proximal humerus or in the vicinity of the knee joint. It rarely involves at bones like the pelvis and scapula.…”
Section: Introductionmentioning
confidence: 99%
“…It rarely involves at bones like the pelvis and scapula. [2,3] The mass effect, compression of adjoining neurovascular structures, mechanical irritation of overlying muscles and tendons, malignant transformation, fracture, and bursa development are all potential complications of a scapular osteochondroma. [4] Osteochondromas often begin in childhood and are asymptomatic.…”
Section: Introductionmentioning
confidence: 99%