Messinese Piermarco, Vismara Valeria, Sircana Giuseppe, Campana Vincenzo, Mocini Fabrizio, Cardona Valentina, Monteleone Andrea S, De Vitis Rocco, Maccauro Giulio, Saccomanno Maristella F
Orthopaedic Institute, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Orthop Rev (Pavia). 2020 Jun 26;12(Suppl 1):8683. doi: 10.4081/or.2020.8683. eCollection 2020 Jun 29.
Chronic shoulder impingement is one of the most common causes of shoulder pain. Intrinsic, extrinsic and secondary factors play a role in this syndrome; however the etiology of the pathology is still under debate. In rare cases, it can be caused by tumors, such as an osteochondroma. In the present study, a 49-year-old patient presented with shoulder pain for 6 months. Initially he underwent conservative treatment, without relief of symptoms. Xrays and MRI were then performed and showed the presence of an exostotic formation on the undersurface of the lateral third of the clavicle. The formation was arthroscopically removed. Histologic examination confirmed the diagnosis of osteochondroma. After surgery, the patient resumed fully activities with no symptoms within 3 months. At 1 year follow up, there are still no clinical or radiological signs of recurrence. This is, to our knowledge, the first case where an arthroscopic approach was used to remove an ostochondroma of the distal third of the clavicle.
慢性肩部撞击症是肩部疼痛最常见的原因之一。内在因素、外在因素和继发因素在该综合征中起作用；然而，该病理的病因仍存在争议。在罕见情况下，它可能由肿瘤引起，如骨软骨瘤。在本研究中，一名49岁患者出现肩部疼痛6个月。最初他接受了保守治疗，但症状未缓解。随后进行了X线和磁共振成像检查，显示锁骨外侧三分之一下方有外生骨疣形成。通过关节镜切除了该肿物。组织学检查证实为骨软骨瘤。术后，患者在3个月内完全恢复活动且无症状。在1年的随访中，仍无复发的临床或影像学迹象。据我们所知，这是首例采用关节镜方法切除锁骨远端三分之一骨软骨瘤的病例。
