engleski

Treatment of a solitary osteochondroma of the ventral scapula - case report

INTRODUCTION: Osteochondroma or exostosis is one of the most common benign bone tumours. It is generally located on the long bones in an immature skeleton and deform them. Scapula localization of solitary exostosis is relatively rare, especially osteochondroma of ventral surface of scapula AIM: The aim of this case report is to show very rare location of solitary osteochondroma and its successful treatment. METHODS: We present a case of 27-year-old male who was treated in our hospital because of the tumor of his right scapula. 3-4 years before the surgery he noticed a growth on the right back side of the shoulder girdle. Last 2 months he felt pain increase and noticed enlargement of the growth. During physical examination we found palpable, ovalshape hard formation which produces crepitation during movements. After detailed radiological processing (MR, CT, ultrasound) and electromyoneurography of the upper extremities, our diagnosis was osteochondroma of the ventromedial part of the scapula. We made a total surgical excision of the described formation, an excised material was sent to the pathohistological diagnostics (PHD). RESULTS: One month after the surgery local status of the shoulder was neat. PHD confirmed our first diagnosis, a solitary osteochondroma of the shoulder. Our patient was able to do all physical activity, he had a full range of movements in the right shoulder, neurocirculatory status was neat. He denied any complaint about his right shoulder. CONCLUSION: Asymptomatic osteochondromas should be treated non-operatively. Indications for operative treatment are pain, irritation, neurovascular complications, loss of function and malignant alteration. Osteochondromas that do not cause other symptoms apart from pain are treated by total surgical excision

osteochondroma, ventral scapula, surgical excision

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