European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Osteochondromas (often referred to as exostosis) are usually an incidental finding and are characterized by a benign bony protuberance covered with a cartilaginous surface in the metaphyseal region of long bones. Though they do not affect the patients directly; but cause indirect complications of varying degree of severity such as bursitis, neurovascular impingement, fracture of peduncle or malignant transformation. Imaging studies such as an MRI or CT, are useful aids in the diagnosis; however, biopsy is a mandatory requisite for a definitive diagnosis. Treatment modalities include open surgical or an arthroscopic resection and has good prognosis. Recurrence follows incomplete excision.
Presentation of case: In this report, we present a rare case of a recurrent, symptomatic scapular osteochondroma associated with scapular pseudowinging and snapping scapular syndrome in a 16-year-old female. Radiological findings exhibited by this tumour was highly characteristic. The tumour was then managed with surgical resection thereby resulting in an entire resolution of the patient's symptoms.
Discussion: This case was unique because she presented with recurrence 5 years after her previous surgery as she neared her age of skeletal maturity raising a suspicion of malignant transformation. And also she was having associated pain, pseudowinging and snapping scapula syndrome.
Conclusion: By reporting this rare case of a scapular osteochondroma that presented with scapular winging, we aim to increase the awareness of the unusual manifestations of osteochondroma, particularly atypical sites, signs, and symptoms. Furthermore, we've given a comprehensive description of this case and its management to help other surgeons who face similar cases.