Jangir Rajat, Kumar Mohit, Berwal Ayush, Muzahid Mohammed, Tailor Rajat Raj, Dulhanani Mohit
Department of Orthopaedics, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India.
J Orthop Case Rep. 2024 Aug;14(8):10-15. doi: 10.13107/jocr.2024.v14.i08.4628.
Osteochondromas are a unique group of benign bone tumors that are characterized by bony outgrowth covered by Cartilage. It has a peculiar micro-architecture as its cortices are extensions of those of parent bone and there is a continuity of medullary cavity; this is akin to branching in plants, rightly earning the name "Exostosis."
We report a case of a 21-year-old male who presented with complaints of swelling on the upper back associated with mild discomfort. Examination confirmed a bony mass on the dorsal aspect of the scapula without any restricted range of motion of the shoulder joint. On the confirmation of diagnosis, en bloc excision was performed.
In conclusion, dorsal scapular osteochondromas are a rarity, and excision of the lesion is an effective management for symptomatic lesions.
骨软骨瘤是一组独特的良性骨肿瘤,其特征是有被软骨覆盖的骨性赘生物。它具有独特的微观结构,其皮质是母骨皮质的延伸,且髓腔连续;这类似于植物的分支,因此恰当地获得了“外生骨疣”这个名称。
我们报告一例21岁男性病例,该患者因上背部肿胀并伴有轻度不适前来就诊。检查证实肩胛骨背侧有一骨性肿块,肩关节活动范围无受限。确诊后,进行了整块切除。
总之,肩胛背侧骨软骨瘤较为罕见,切除病变是治疗有症状病变的有效方法。