Jindal Vasu, Khandekar Anil, Gupta Parag, Binyala Shrey
Department of Orthopaedics, MGM Hospital, Navi Mumbai, Maharashtra, India.
J Orthop Case Rep. 2022 Jul;12(7):34-37. doi: 10.13107/jocr.2022.v12.i07.2906.
Osteochondroma is a type of cartilaginous tumor. It is the most common benign tumor of axial skeleton usually arising around the knee, proximal humerus, and pelvis. Solitary osteochondroma of the scapula is relatively rare and usually incidental finding accompanied by pain and dysfunction. These lesions can easily be followed radiographically with plain radiograph. Computed tomography (CT) is used to determine the precise location and its relationship with the surrounding soft tissues and enable accurate surgical removal.
In this report, we present a rare case of a symptomatic scapular osteochondroma in a 18-year-old male who presented with the complaints of swelling over the left scapula. X-ray showed a bony outgrowth along the posteromedial border of the left scapula. CT scan was done to know extent of the growth. MRI was performed to rule out soft-tissue involvement. Despite the young age of the patient, surgical excision was performed. The outcome was good, the patient noticed disappearance of swelling and a normal profile of the scapula was gained.
We have described a rare case of scapular osteochondroma associated with different signs, symptoms, and positive radiological findings. This lesion was removed surgically, and a follow-up indicated complete symptom relief with no history of recurrence. By reporting this case, we aim to increase the awareness of unusual manifestations of osteochondroma, particularly in terms of site, age of onset, and atypical presenting signs and symptoms.
骨软骨瘤是一种软骨肿瘤。它是轴骨骼最常见的良性肿瘤，通常发生在膝关节、肱骨近端和骨盆周围。肩胛骨孤立性骨软骨瘤相对罕见，通常是偶然发现，伴有疼痛和功能障碍。这些病变通过普通X线平片很容易进行影像学随访。计算机断层扫描（CT）用于确定其精确位置及其与周围软组织的关系，以便准确手术切除。
在本报告中，我们介绍了一例罕见的有症状的肩胛骨骨软骨瘤病例，患者为一名18岁男性，主诉左肩胛骨肿胀。X线显示左肩胛骨后内侧缘有骨赘。进行CT扫描以了解肿瘤生长范围。进行MRI检查以排除软组织受累。尽管患者年龄较小，但仍进行了手术切除。结果良好，患者肿胀消失，肩胛骨外形恢复正常。
我们描述了一例罕见的肩胛骨骨软骨瘤病例，伴有不同的体征、症状和阳性影像学表现。该病变通过手术切除，随访显示症状完全缓解，无复发史。通过报告本病例，我们旨在提高对骨软骨瘤不寻常表现的认识，特别是在部位、发病年龄以及非典型的体征和症状方面。
