Almogbil Ismail Hamad
Department of Surgery, Unaizah College of Medicine and Medical Science, Qassim University, Saudi Arabia.
Ann Med Surg (Lond). 2021 Nov 3;72:103003. doi: 10.1016/j.amsu.2021.103003. eCollection 2021 Dec.
One of the most common causes of shoulder pain is impingement syndrome, several structural changes of acromion, coracoid process, coracohumeral ligament and acroimclavicular joint could cause it; however a rare extrinsic benign tumor such as osteochondromas could also lead to shoulder impingement which could be treated successfully by arthroscopy.
We presented a successful arthroscopic resection of distal clavicle osteochondroma causing shoulder impingement in a 56-year-old male patient which was not responding to conservative management.
Shoulder impingement could be caused by a very rare pathology such as osteochondromas. Sever shoulder pain and decrease of shoulder range of motion are common patient symptoms. Plain x-rays and MRI might be enough radiological investigation to reach up a diagnosis. Arthroscopic resection of such lesions considered as safe and effective management approach with low complication rates and recurrence rates.
肩痛最常见的原因之一是撞击综合征，肩峰、喙突、喙肱韧带和肩锁关节的几种结构变化都可能导致该疾病；然而，一种罕见的外部良性肿瘤，如骨软骨瘤，也可能导致肩部撞击，通过关节镜检查可以成功治疗。
我们报告了一例成功的关节镜下切除远端锁骨骨软骨瘤的病例，该骨软骨瘤导致一名56岁男性患者肩部撞击，保守治疗无效。
肩部撞击可能由非常罕见的病理情况如骨软骨瘤引起。严重的肩部疼痛和肩部活动范围减小是常见的患者症状。普通X线和磁共振成像可能是做出诊断的足够影像学检查。关节镜下切除此类病变被认为是一种安全有效的治疗方法，并发症发生率和复发率较低。
