Surgical treatment of rare case of scapula osteochondroma in a resource limited setting: A case report
| Autor: | L.J. Bitang A. Mafok, Gaspary Fodjeu, F.O. Ngongang, L. Fonkoue, Marc Leroy Guifo, F. Ibrahima, A.C. Fon |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Osteochondroma
medicine.medical_specialty Appendicular skeleton Malignancy Article 03 medical and health sciences 0302 clinical medicine Scapula Surgical Rare case Case report medicine Exostosis business.industry medicine.disease musculoskeletal system body regions medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology Range of motion business Limited resources |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Osteochondroma is a frequent benign tumor in the growing adolescent and involves mostly the growth plate of long bones and seldomly the scapula. • Solitary osteochondroma of the scapula is a rare and usually incidental finding and usually asymptomatic, but for its compressive effect that can be at the origin of pain, winging, snapping noise, limited range of motion and even possible fractures. • The therapeutic options of this rare finding are not clearly codified in our settings. Thus, we present a case of a solitary scapular osteochondroma with pressure symptoms managed surgically. Introduction Osteochondroma also known as exostosis is one of the most common benign bone tumours, and are characterized by bone protuberances surrounded by a cartilage layer. They generally affect the extremities of the long bones in an immature skeleton and deform them. They are easily diagnosed at the level of the appendicular skeleton. However, atypical localization and malignancy are sometimes challenging to diagnose on clinical evaluation and plain radiography. Therefore, more refine diagnostic tools may be required. Scapula localization of solitary exostosis is relatively rare. Case presentation We report the case of a 17 years old male patient reporting worsening shoulder pain since 3 years with right scapula winging. Computer tomography (CT) scan revealed an osteochondroma on the ventro-medial surface of the right scapula extending into the scapulo-thoracic space. Surgical excision was done and histopathological study confirmed osteochondroma of the scapula. We noted excellent post-operative pain alleviation after two weeks, full range of motion and a better self-esteem. Discussion The scapula is involved in 3.0–6.4% of all cases. Osteochondroma usually arises on the anterior surface of the scapula. Surgical excision is an excellent treatment option for symptomatic patients with scapula osteochondroma. In our case presentation we used a muscle sparing technique. No muscle detachment will ensure rapid and better postoperative recovery. Surgical removal is useful in eliminating painful symptoms and avoids possible malignant transformation. Conclusion Good clinical outcome is expected with surgical excision of symptomatic scapula osteochondromas especially using muscle-sparing technique which offers a quick functional rehabilitation of patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|