Ermiş Mehmet Nurullah, Aykut Umit Selçuk, Durakbaşa Mehmet Oğuz, Ozel Mustafa Sefa, Bozkuş Ferdi Safa, Karakaş Eyüp Selahattin
2nd Department of Orthopedics and Traumatology, Haydarpaşa Numune Training and Research Hospital, Kadıköy, İstanbul, Turkey.
Eklem Hastalik Cerrahisi. 2012 Apr;23(1):40-3.
This study aims to evaluate the results of surgical excisions of subscapular exostoses which caused snapping scapula syndrome.
Between September 1980 and January 2010 30 patients with scapular osteochondromas which caused snapping, were treated surgically in our clinic. Fifteen patients (9 males, 6 females; mean age 15.6 years; range 6 to 29 years) in whom we were able to contact following treatment were clinically evaluated. The mean follow-up was 13.7 years (range 1 to 31 years). The initial examination included radiographs and computed tomography. The clinical results were evaluated with a simple shoulder test at their last follow-up.
The preoperatively most common complaint was winging of the scapula in all patients (100%), followed by pain in 12 patients (80%), and crepitus with scapulothoracic motion in 10 patients (66.6%). None of the patients had any clue in favor of snapping after surgical treatment. According to the responses to the simple shoulder test, none of the patients had any restriction of motion on their operated shoulders. They didn't give us a history about recurrence of the lesion.
Excision is an appropriate treatment for osteochondromas. In this retrospective analysis, complete relief following excision of the exostosis was achieved in all patients. No patient had any complaint or recurrence.
本研究旨在评估手术切除引起肩胛弹响综合征的肩胛下外生骨疣的结果。
1980年9月至2010年1月期间，30例因肩胛骨软骨瘤导致弹响的患者在我们诊所接受了手术治疗。对治疗后我们能够联系到的15例患者（9例男性，6例女性；平均年龄15.6岁；范围6至29岁）进行了临床评估。平均随访时间为13.7年（范围1至31年）。初始检查包括X线片和计算机断层扫描。在最后一次随访时通过简单的肩部测试评估临床结果。
术前所有患者最常见的主诉是肩胛骨翼状畸形（100%），其次是12例患者疼痛（80%），10例患者肩胛胸壁活动时有摩擦音（66.6%）。术后没有患者有任何提示弹响的迹象。根据简单肩部测试的结果，没有患者患侧肩部活动受限。他们没有向我们提及病变复发的病史。
切除是治疗骨软骨瘤的一种合适方法。在这项回顾性分析中，所有患者切除外生骨疣后均实现了完全缓解。没有患者有任何不适或复发。
