PMC6000990_01
Anteroposterior (A) and axillary (B) radiographs of the left shoulder show a well-defined lesion.
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X-ray imaging revealed a well-defined benign lesion, identified as an osteochondroma, between the chest wall and ventral aspect of the left scapula (Fig. 1).
Preoperative (A) coronal and (B) three-dimensional computed tomography scans reveal a large exostosis in the ventral aspect of the left scapula with internal projection to the thoracic junction.
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This lesion measured approximately 5 cm x 5 cm x 2 cm, with no signs of fracture (Fig. 2).
Intraoperative photograph of the skin incision and the interval between the trapezius and deltoid insertions.
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The incision curved distally around the superomedial angle and down the vertebral border (Fig. 3).
Intraoperative photograph of the exposed osteochondroma.
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Delicate subperiosteal dissection allowed the scapula to be lifted from the chest wall to expose the lesion (Fig. 4).
Intraoperative photograph of the scapula after excision of the osteochondroma.
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This was excised from the base, and the entire protuberance was removed (Fig. 5).