Rustagi Ashish, Agarwalla Anish, Agarwal Sarang, Krishna Loveneesh, Talwar Jatin
Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Cureus. 2020 Dec 30;12(12):e12384. doi: 10.7759/cureus.12384.
Neuromuscular causes of winging of scapula are well known, but winging and snapping of scapula may rarely be caused by space-occupying lesion of the thoracic wall. Although osteochondroma of scapula is rare, it is the most common neoplasm of scapula, and osteochondroma of ventral scapula may lead to pseudo-winging, snapping, and rib erosion on the same side. Owing to its rarity, we report two cases of osteochondroma of ventral scapula with complains of difficult scapulothoracic movement (snapping scapula) and pseudo-winging. After initial clinical and radiological investigations, wide local excision was done and diagnosis confirmed histopathologically. In a two-year follow-up, there is no recurrence, and symptoms of snapping and pseudo-winging disappeared completely. Pertaining to its asymptomatic nature and rare location, diagnosis of osteochondroma may be missed initially searching for some other neuromuscular disorders, and these cases should be reported to increase awareness and to execute proper surgical management.
肩胛翼状畸形的神经肌肉病因众所周知，但肩胛翼状畸形和弹响很少由胸壁占位性病变引起。虽然肩胛骨骨软骨瘤罕见，但它是肩胛骨最常见的肿瘤，肩胛骨腹侧的骨软骨瘤可导致同侧的假性翼状畸形、弹响和肋骨侵蚀。由于其罕见性，我们报告两例肩胛骨腹侧骨软骨瘤病例，患者主诉肩胛胸壁活动困难（肩胛弹响）和假性翼状畸形。经过初步临床和影像学检查后，进行了广泛局部切除，并通过组织病理学确诊。在两年的随访中，无复发，弹响和假性翼状畸形症状完全消失。鉴于其无症状性质和罕见位置，最初在寻找其他神经肌肉疾病时可能会漏诊骨软骨瘤病例，应报告这些病例以提高认识并实施适当的手术管理。
