PMC6675934_01
Attempted surgical scar and right scapula winging.
gr1.jpg
PMC6675934_01_gr1.jpg
fig0005
Physical examination showed an asymmetry of his scapulae with a wing-like prominence of his right scapula giving a right medial scapula elevation from thoracic cage of about 4 cm and a difficultly palpable mass with crepitus of the shoulder on mobilization (Fig. 1). Elsewhere on inspection, we had a longitudinal scar of about 7 cm on the medial border of the right scapula from an attempted excision by inexperienced medical personnel (Fig. 1).
Lateral shoulder view showing a right subscapular mass.
gr2.jpg
PMC6675934_01_gr2.jpg
fig0010
Radiographic evaluation showed an irregular bony structure extruding from the scapula (Fig. 2).
CT scan 3D reconstruction of the right scapula showing exostosis.
gr3.jpg
PMC6675934_01_gr3.jpg
fig0015
Computed tomography (CT) revealed a bony exostosis along the medial border on the ventral surface of the right scapula (Fig. 3).
Patient positioning.
gr4.jpg
PMC6675934_01_gr4.jpg
fig0020
Patient was placed in a prone position under general anesthesia (Fig. 4).
Exposure of exostosis.
gr5.jpg
PMC6675934_01_gr5.jpg
fig0025
The rhomboid was split bluntly in line with the fibers and subperiosteal dissection allowed full exposure of the exostosis (Fig. 5).
Exostosis once resected.
gr6.jpg
PMC6675934_01_gr6.jpg
fig0030
The specimen measured 9 cm x 5 cm (Fig. 6).
Scapula after excision of osteochondroma.
gr7.jpg
PMC6675934_01_gr7.jpg
fig0035
By three weeks full range of motion was possible without pain or discomfort (Fig. 7).