Static winged scapula as a result of solitary scapular osteochondroma

Emergency Medicine; Trauma; Orthopaedics
Case Report
10.1102/1470-5206.2010.0018
10
86-88
Static winged scapula as a result of solitary scapular osteochondroma

Static winging of the scapula is a rare diagnosis. It may be caused by pathology of the scapula or the chest wall. Solitary osteochondroma of the scapula is one of the rare causes and may present an initial diagnostic difficulty. We present a case of an 18-year-old man who presented with non-specific pain in his right shoulder following a fall. Initial examinations and plain radiographs failed to reveal any abnormality. Subsequently a computed tomography (CT) scan of the shoulder revealed a small solitary scapular osteochondroma. Advanced imaging with CT scan or magnetic resonance imaging (MRI) is essential to establish an early diagnosis. As these osteochondromata are associated with a higher risk of malignancy compared with osteochondroma in long bones, a close follow-up with interval scans is warranted if surgical excision is not undertaken initially.

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Editor-in-Chief

Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK

Editors

Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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