Aldebeyan Wassim, Alshayhan Fahad, Almashouq Mohammad K, Benfaris Demah, Alsabbagh Laila M, AlFaleh Ahmed F
Department of Orthopedic, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Orthopedic, King Abdullah Bin Abdulaziz University Hospital, Riyadh, Saudi Arabia.
J Orthop Case Rep. 2022 Nov;12(11):38-41. doi: 10.13107/jocr.2022.v12.i11.3406.
Osteochondromas are the most common benign lesions of the bone. They usually affect flat bones such as the scapula.
We report a case of a left-handed 22-year-old male with no previous medical history, who came to the orthopedic outpatient clinic complaining of pain in the right shoulder, snapping, poor cosmetic look, and limited range of motion. Magnetic resonance imaging revealed an osteochondroma of the scapula. The tumor was surgically excised using a muscle splitting technique in line with the muscle fibers. Histopathological evaluation of the excised tumor confirmed the diagnosis of an osteochondroma.
Surgical excision of the osteochondroma using muscle splitting in line with the muscle fibers gave good results in terms of patient satisfaction and cosmetic appearance. Delayed diagnosis and management may increase the risk of symptoms such as snapping or winging of the scapula.
骨软骨瘤是最常见的骨良性病变。它们通常影响扁平骨，如肩胛骨。
我们报告一例22岁左利手男性，既往无病史，因右肩疼痛、弹响、外观不佳及活动范围受限前来骨科门诊就诊。磁共振成像显示肩胛骨骨软骨瘤。采用沿肌纤维劈开肌肉的技术将肿瘤手术切除。对切除肿瘤的组织病理学评估证实为骨软骨瘤。
采用沿肌纤维劈开肌肉的技术手术切除骨软骨瘤，在患者满意度和外观方面取得了良好效果。延迟诊断和治疗可能会增加肩胛骨弹响或翼状肩胛等症状的风险。
