Fageir Mazin M, Edwards Max R, Addison Anthony K
Department of Trauma and Orthopaedics, Darent Valley Hospital, Dartford, Kent, UK.
J Pediatr Orthop B. 2009 Nov;18(6):304-7. doi: 10.1097/BPB.0b013e32832f06f4.
Hereditary multiple exostosis is an autosomal dominant disorder characterized by the formation of multiple cartilaginous osteochondromata in the immature skeleton. Indications for operative intervention include mechanical dysfunction of a joint or tendon relating to the size of the lesion, and sarcomatous change. Ventral scapular osteochondromas have been reported to cause mechanical symptoms and should be considered as a differential to a 'winged' scapula. The surgical treatment of such lesions has not widely been reported in the orthopaedic literature. We report the surgical treatment of two osteochondroma from the ventral surface of the scapula in a 16-year-old girl. Preoperative evaluation, imaging, surgical technique and outcome are discussed. Ventral scapular osteochondroma can be successfully treated using the straightforward surgical technique described.
遗传性多发性骨软骨瘤是一种常染色体显性疾病，其特征是在未成熟骨骼中形成多个软骨性骨软骨瘤。手术干预的指征包括与病变大小相关的关节或肌腱机械性功能障碍以及肉瘤样改变。据报道，肩胛腹侧骨软骨瘤可引起机械性症状，应被视为“翼状”肩胛的鉴别诊断。此类病变的外科治疗在骨科文献中尚未广泛报道。我们报告了一名16岁女孩肩胛腹侧表面两个骨软骨瘤的外科治疗情况。讨论了术前评估、影像学检查、手术技术及结果。使用所述的直接手术技术可成功治疗肩胛腹侧骨软骨瘤。
