PMC4799057_01
Computed tomography of the scapula showing the presence of an osteochondroma in the medial region
gr1.jpg
PMC4799057_01_gr1.jpg
fig1
The image was considered compatible with osteochondroma (Figure 1).
Medial arthroscopic portals for arthroscopic inspection of the scapulothoracic joint
gr2.jpg
PMC4799057_01_gr2.jpg
fig2
The arthroscopic procedure allowed for the direct visualization of the osteochondroma, but open resection with complete excision was performed due to the size of the tumor (Figures 2 and 3).
Arthroscopic view of the osteochondroma
gr3.jpg
PMC4799057_01_gr3.jpg
fig3
The arthroscopic procedure allowed for the direct visualization of the osteochondroma, but open resection with complete excision was performed due to the size of the tumor (Figures 2 and 3).
PMC4799057_02
Computed tomography showing the presence of scapular osteochondroma in the central region of the medial third
gr4.jpg
PMC4799057_02_gr4.jpg
fig4
The image was considered compatible with osteochondroma (Figure 4).
Positioning the patient prone with the arm in internal rotation and demarcation of the portals for arthroscopy of the scapulothoracic joint
gr5.jpg
PMC4799057_02_gr5.jpg
fig5
The patient underwent general anesthesia and was positioned prone with the affected limb in internal rotation, the affected shoulder supported with a cushion (Figure 5).
a) Location of the osteochondroma and positioning for arthroscopic resection; b) beginning resection with a shaver blade for bone; c) arthroscopic view of the complete resection of the osteochondroma
gr6.jpg
PMC4799057_02_gr6.jpg
fig6
The arthroscopic procedure allowed the direct visualization and complete resection of the osteochondroma (Figures 6a, b, c).
Presence of marked edema in the scapula post-scapulothoracic joint arthroscopy
gr7.jpg
PMC4799057_02_gr7.jpg
fig7
The procedure took 40 minutes, the patient had marked edema in the region of the scapula (Figure 7).
Lateral radiograph of the scapula showing total resection of the osteochondroma
gr8.jpg
PMC4799057_02_gr8.jpg
fig8
Postoperative radiographs showed the total removal of the tumor (Figure 8).
PMC4799057_03
Using a needle to mark the superior medial angle of the scapula during scapulothoracic joint arthroscopy
gr9.jpg
PMC4799057_03_gr9.jpg
fig9
A needle was used to find the angle by means of two medial portals, no local bone resection was performed (Figures 9, 10 and 11).
Arthroscopic image of the bursectomy
gr10.jpg
PMC4799057_03_gr10.jpg
fig10
A needle was used to find the angle by means of two medial portals, no local bone resection was performed (Figures 9, 10 and 11).
Portals used for bursectomy
gr11.jpg
PMC4799057_03_gr11.jpg
fig11
A needle was used to find the angle by means of two medial portals, no local bone resection was performed (Figures 9, 10 and 11).
PMC4799057_04
Inspection of the location of pain and crepitation in the scapulothoracic joint (arrow)
gr12.jpg
PMC4799057_04_gr12.jpg
fig12
Physical examination showed no change in range of motion, however, we noted pain on palpation of the superior medial region of the left scapula (Figure 12).
Computed tomography of the scapula showing the presence of calcification in the superior medial angle
gr13.jpg
PMC4799057_04_gr13.jpg
fig13
Radiographic study was complemented by computed tomography (CT), showing calcification of the superior medial border of the left scapula (Figure 13).
a) Arthroscopic image of bursectomy; b) resection of the superior medial angle of the scapula with shaver blade; c) complete resection of the superior medial angle of the scapula
gr14.jpg
PMC4799057_04_gr14.jpg
fig14
Bursectomy and superior medial scapulectomy were performed using two portals, one medial to the scapular spine and the other through the Bell portal (Figures 14a, b, c).