Winging of Scapula: An Uncommon Presentation of a Common Tumor

Rustagi, Ashish; Agarwalla, Anish; Agarwal, Sarang; Krishna, Loveneesh G.; Talwar, Jatin

doi:10.7759/cureus.12384

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…A study reported on a female patient who had a case of "adventitious bursa" related to a scapular exostosis. Any bone can produce osteochondroma, primarily seen in the metaphyseal area of long and flat bones, and stops growing after skeletal maturity [ 18 ]. The study researched by Abat on the snapping scapula found a strong relationship to tumors of the scapulothoracic region.…”

Section: Discussionmentioning

confidence: 99%

Conservative Rehabilitation Program for Osteochondroma of the Scapula: A Case Report

Burile,

Ramteke

2024

Cureus

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One of the most frequent cartilage-capped outgrowths that develop beneath the periosteum due to cartilage ossification is osteochondroma. The second decade of life is noted as the most prevalent age of presentation. This case report looks at an uncommon osteochondroma presentation in a 20-year-old female with swelling along the right inferomedial border of the scapula. The patient presented with complaints of difficulty in daily activities and exhibited altered posture, decreased range of motion (ROM), muscle weakness, and altered shoulder function. The clinical assessment highlighted restricted shoulder and cervical ROM and muscle weakness in the trapezius, rhomboids, serratus anterior, and other surrounding muscles. Magnetic resonance imaging revealed an inferomedial bony outgrowth indicative of osteochondroma. A comprehensive physiotherapy intervention protocol for eight weeks was designed to alleviate pain, improve mobility, restore ROM, strengthen weakened muscles, correct posture, and enhance functions that were restricted. The protocol encompassed various techniques, such as muscle energy techniques (MET), proprioceptive neuromuscular facilitation (PNF), cold therapy, stretching, scapular mobilization, resistance exercises with TheraBand, postural correction exercises, ergonomic adjustments, scapular stabilization exercises, and 'J'-taping to aid in muscle activation and address rounded shoulder posture. Outcome measures for cervical and shoulder ROM and strength were measured to note the progression after rehabilitation. The case report emphasizes the importance of a tailored physiotherapy rehabilitation protocol in managing osteochondroma-related symptoms, showing the potential benefits of multifaceted interventions in alleviating pain, improving function, and boosting the quality of life for individuals with similar presentations.

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Section: Discussionmentioning

confidence: 99%

Conservative Rehabilitation Program for Osteochondroma of the Scapula: A Case Report

Burile,

Ramteke

2024

Cureus

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Minimally‐invasive excision of a scapular osteochondroma on the ventral surface: A case report and literature review

Wu,

Liao,

Yang

2024

Clinical Case Reports

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Key Clinical MessageOsteochondroma on the ventral scapula is clinically rare and can incur pseudo‐winged scapula and snapping syndrome if not treated. In this regard, surgical excision is suggested, if possible, with a minimally invasive approach to accelerate physical recovery.AbstractOsteochondroma is a common benign bone tumor, characterized by a cartilage‐capped osseous protuberance with cortical and medullary continuity with the underlying native bone. Osteochondroma is commonly found in the long bones, such as the proximal humerus, distal femur, and proximal tibia, but rarely seen in flat bones. We report a case of pedunculated osteochondroma on the ventral surface of left scapula in a young adult woman. She presented with a slight pseudo‐winged scapula, occasional pain, and snapping sound with motion of the left shoulder. The tumor was surgically resected using a minimally invasive approach, and an excellent outcome was obtained.

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Winging of Scapula: An Uncommon Presentation of a Common Tumor

Cited by 2 publications

References 9 publications

Conservative Rehabilitation Program for Osteochondroma of the Scapula: A Case Report

Conservative Rehabilitation Program for Osteochondroma of the Scapula: A Case Report

Minimally‐invasive excision of a scapular osteochondroma on the ventral surface: A case report and literature review

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