PMC5458695_01
Preoperative clinical photograph showing pseudowinging.
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F1
A 4-year-old male Muslim boy from Lilong, Manipur, born of non-consanguineous marriage presented to the Orthopedic OPD with swelling on the left side of the upper back (Fig. 1).
Preoperative computed tomography scan with 3-dimensional reconstruction.
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F2
Having explained the need for proper workup of the condition and having taken valid consent, routine investigations, X-rays, and computed tomography (CT) scan (Fig. 2 and 3) were taken with financial assistance from the authors.
Preoperative X-ray showing the mass attached to the lower end of the scapula.
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F3
Having explained the need for proper workup of the condition and having taken valid consent, routine investigations, X-rays, and computed tomography (CT) scan (Fig. 2 and 3) were taken with financial assistance from the authors.
Intraoperative photograph of incision.
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F4
A 5 cm incision was placed parallel to the lower half of the medial border of the left scapula (Fig. 4), trapezius incised along the skin incision.
Intraoperative photograph of resection.
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F5
The whole swelling was excised using osteotome (Fig. 5).
Excised specimen.
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F6
The excised tissue measured 4 cm x 3 cm x 2.5 cm (Fig. 6), with the cartilage cap measuring about 3 mm in thickness (Fig. 7).
Histopathological examination (under high power) of the excised mass showing cartilaginous cap.
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F8
Histopathological examination showed thin cartilaginous cap with enchondral ossification toward the base, with underlying trabecular bone along with hematopoietic marrow and fat spaces, which confirmed the clinical diagnosis of osteochondroma (Fig. 8).