Oliveira Marco Aurélio de, Alfaro Yuri, Kotzias Neto Anastácio, Korman Mário César
Hospital Infantil Joana de Gusmão, Florianópolis, SC, Brasil.
Rev Bras Ortop (Sao Paulo). 2019 May;54(3):241-246. doi: 10.1055/s-0039-1692432. Epub 2019 Jun 27.
This study aims to report the clinical features of pediatric patients diagnosed with subscapular osteochondroma submitted to surgical treatment at Hospital Infantil Joana de Gusmão (HIJG), in Florianópolis, Santa Catarina, Brazil, between 2003 and 2017. Analytical, descriptive and retrospective case series of seven patients with subscapular osteochondroma diagnosis. The average age of the analyzed patients was 9.5 years-old; 71% of the patients were male. The mean time between onset of symptoms and the surgical procedure was 1.2 years. Approximately 71% of the patients presented osteochondroma in the right scapula, and 57.1% of the lesions were classified as sessile. At the clinical examination, winged scapula was observed in 85.7%, crepitus in 71.4%, and 42.9% of the patients complained about pain. The winged scapula can have different etiologies, including subscapular osteochondroma. The knowledge about functional anatomy and orthopedic semiology added to the correct systematization approach to bone tumors is the basis for the correct differential diagnosis and adequate treatment.
本研究旨在报告2003年至2017年间，在巴西圣卡塔琳娜州弗洛里亚诺波利斯市的若阿娜·德·古斯芒儿童医院（HIJG）接受手术治疗的诊断为肩胛下骨软骨瘤的儿科患者的临床特征。
对7例诊断为肩胛下骨软骨瘤的患者进行分析性、描述性和回顾性病例系列研究。
分析的患者平均年龄为9.5岁；71%的患者为男性。症状出现至手术的平均时间为1.2年。约71%的患者右侧肩胛骨出现骨软骨瘤，57.1%的病变为无蒂型。临床检查时，85.7%的患者观察到翼状肩胛，71.4%的患者有摩擦音，42.9%的患者主诉疼痛。
翼状肩胛可有不同病因，包括肩胛下骨软骨瘤。关于功能解剖学和骨科症状学的知识，加上对骨肿瘤正确的系统化处理方法，是正确鉴别诊断和适当治疗的基础。
