Rare Case of Osteochondroma on the Dorsal Aspect of the Scapula

Shahid, Osama; Shahid, Mubasshar; Shaik, Likhita; Masud, Moavaz; Ranjha, Shaheryar

doi:10.7759/cureus.17051

Cited by 7 publications

(12 citation statements)

References 12 publications

(12 reference 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%

“…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%

“…Very little information is available regarding dorsal scapular osteochondromas. Furthermore, all reported cases have opted for excision, which was sufficient to alleviate the symptoms [14,42,43,47,48,[50][51][52][53][54][55][56][57][58][59][60]62]. Surgical management is usually indicated with the presence of pain, need for cosmesis, complications, high risks of malignant transformation, or uncertain diagnosis [44,45,[63][64][65][66].…”

Section: Introductionmentioning

confidence: 99%

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Osteochondroma of the Scapula: A Case Report and Literature Review

Altwaijri¹,

Fakeeha²,

Alshugair³

2022

Cureus

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Osteochondromas are bone lesions composed of medullary and cartilaginous bone covered by a cap of hyaline cartilage. The presence of medullary and cortical bone with the continuity of the tumor is pathognomonic for osteochondroma and aid in establishing the diagnosis.We report a case of a two-year-old girl who presented to our clinic following her mother noticing a palpable, growing, and painful mass on her left scapula. There was no limitation in the range of motion. A clear-cut mass was seen on the dorsal aspect and palpated measuring around 2.5x3 cm. Surgical excision of the mass followed by histologic examination confirmed osteochondroma. Upon follow-up, the patient had no pain and had a full range of left shoulder motion without discomfort or pain.In conclusion, scapular exostoses are very rare and more so when they present dorsally. Symptomatic lesions can be managed effectively with surgical excision of exostosis.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

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Osteochondroma of the Scapula: A Case Report and Literature Review

Altwaijri¹,

Fakeeha²,

Alshugair³

2022

Cureus

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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%

Osteochondroma of the scapula: An uncommon site of presentation in the elderly: A case report

Sauhta¹,

(MS²

2022

Preprint

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Osteochondromas are benign bone tumors that mainly affect the metaphysis of long bones. We describe a 50-year-old patient who presented with a ventral scapular osteochondroma that limited her shoulder movement and caused tumor-induced paresthesia during sleep. The swelling was accompanied by pain and an inability to execute her professional obligations for the preceding four months. There were no neurological abnormalities. CT scan revealed a mushroom-shaped mass with cortical and medullary components near the scapula's lateral angle. We intended to do the surgery in the lateral decubitus position and under general anesthesia via the axillary approach. We describe a unique location and age range in which osteochondroma manifests. Because the risk of malignancy grows with age, we underline that osteochondroma should be considered a differential diagnosis in both unusual locations and age groups. Secondly, patients should be monitored clinically and radiographically following excision.

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Solitary Osteochondroma of the Scapula in a Young Male: A Case Report

Jindal¹,

Khandekar²,

Gupta³

et al. 2022

JOCR

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Introduction: Osteochondroma is a type of cartilaginous tumor. It is the most common benign tumor of axial skeleton usually arising around the knee, proximal humerus, and pelvis. Solitary osteochondroma of the scapula is relatively rare and usually incidental finding accompanied by pain and dysfunction. These lesions can easily be followed radiographically with plain radiograph. Computed tomography (CT) is used to determine the precise location and its relationship with the surrounding soft tissues and enable accurate surgical removal. Case Report: In this report, we present a rare case of a symptomatic scapular osteochondroma in a 18-year-old male who presented with the complaints of swelling over the left scapula. X-ray showed a bony outgrowth along the posteromedial border of the left scapula. CT scan was done to know extent of the growth. MRI was performed to rule out soft-tissue involvement. Despite the young age of the patient, surgical excision was performed. The outcome was good, the patient noticed disappearance of swelling and a normal profile of the scapula was gained. Conclusion: We have described a rare case of scapular osteochondroma associated with different signs, symptoms, and positive radiological findings. This lesion was removed surgically, and a follow-up indicated complete symptom relief with no history of recurrence. By reporting this case, we aim to increase the awareness of unusual manifestations of osteochondroma, particularly in terms of site, age of onset, and atypical presenting signs and symptoms.

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Rare Case of Osteochondroma on the Dorsal Aspect of the Scapula

Cited by 7 publications

References 12 publications

Osteochondroma of the Scapula: A Case Report and Literature Review

Osteochondroma of the Scapula: A Case Report and Literature Review

Osteochondroma of the scapula: An uncommon site of presentation in the elderly: A case report

Solitary Osteochondroma of the Scapula in a Young Male: A Case Report

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