Malavolta E A, Assunção J H, Rebolledo D C S, Gracitelli M E C, Correia L F M, Ferreira Neto A A, de Camargo O P
Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil.
Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, Universidade de São Paulo - USP, Rua Dr. Ovídio Pires de Campos 333, 3rd floor, 05403-010 Cerqueira Cesar São Paulo/SP, Brazil.
Orthop Traumatol Surg Res. 2015 Dec;101(8):977-80. doi: 10.1016/j.otsr.2015.08.013. Epub 2015 Nov 3.
Osteoid osteoma is a benign tumor that is rarely found in the scapula. We report a clinical case involving a 36-year-old female patient who suffered from progressive pain in her right shoulder for 1 year. This patient was initially diagnosed with impingement syndrome and was treated unsuccessfully with medication and physical therapy for approximately 2 months. Based on imaging exams, a juxta-articular osteoid osteoma of the glenoid was identified. The patient underwent a shoulder arthroscopy that included tumor removal and treatment of the resulting chondral lesion. At 6-, 12- and 36-month assessments, the patient was asymptomatic, with a normal range of motion and experienced a pain intensity corresponding to 0 points on the Visual Analog Scale (VAS) and 35 points on the University of California, Los Angeles (UCLA) Scale. A postoperative MRI indicated the absence of any residual tumor tissue or inflammatory signs. We believe that the approach described in this paper allows juxta-articular osteoid osteomas to be accessed in a minimally invasive manner and permits not only adequate resection but also the treatment of chondral lesions that could remain after tumor resection.
骨样骨瘤是一种良性肿瘤，很少见于肩胛骨。我们报告一例临床病例，患者为一名36岁女性，右肩部进行性疼痛1年。该患者最初被诊断为撞击综合征，接受药物和物理治疗约2个月，效果不佳。根据影像学检查，确诊为盂肱关节旁骨样骨瘤。患者接受了肩关节镜检查，包括肿瘤切除和对由此产生的软骨损伤的治疗。在6个月、12个月和36个月的评估中，患者无症状，活动范围正常，视觉模拟量表（VAS）疼痛强度评分为0分，加利福尼亚大学洛杉矶分校（UCLA）量表评分为35分。术后MRI显示无任何残留肿瘤组织或炎症迹象。我们认为本文所述方法能够以微创方式处理盂肱关节旁骨样骨瘤，不仅能充分切除肿瘤，还能治疗肿瘤切除后可能残留的软骨损伤。
