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Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2020, Number 1-3

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Rev Mex Ortop Ped 2020; 22 (1-3)

Presentation of a rare clinical report of scapular osteochondroma in an adolescent girl

Contreras GRA, Hernández M?, Ardón J, Osvaldo FI

Language: Spanish
References: 35
Page: 30-35
PDF size: 280.73 Kb.


ABSTRACT

Introduction: Osteochondroma is a benign tumor, which is predominantly found in the metaphyseal region of the long bones. Despite it being the most common benign tumor affecting the bone, it is very rare for it to occur at the level of the scapula hence only a few case reports on scapular osteochondroma exist in the literature. It can generate several clinical manifestations due to its mass effect. Objectives: To present the case of a 14-year-old patient with multiple osteochondromatosis record, diagnosed at her 4 years of age with surgical resection in the left thoracic limb and right pelvic limb inflammation in the left dorsal region with subscapular volume predominance, pain on palpation and mobility, progressive functional limitation in the left shoulder and shoulder asymmetry with two years of evolution. It is valued with imaging studies with baseline pedicle image results broad with irregular shape in relation to osteochondroma. Results: The patient was satisfactorily managed by means of an open surgery through a paraspinal approach. The patient has no evidence of recurrence within a six-month follow-up, who continues her daily activities without any limitation or discomfort at a functional level. Conclusions: Increased volume and pain are amongst the most frequent symptoms in patients with cartilaginous bone tumors, which coincides with our case report. In this case, open surgery was performed with the preservation of the glenohumeral joint and without any complication.


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EVIDENCE LEVEL

IV




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