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Year : 2019  |  Volume : 3  |  Issue : 4  |  Page : 370-373

Symptomatic osteochondroma in the ventral aspect of the scapula in a child with hereditary multiple exostoses

Department of Orthopedic Surgery, Ministry of Health, King Saud Medical City, Ulaishah, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Bander S Alrashedan
Department of Orthopaedic Surgery, Ministry of Health, King Saud Medical City, Ulaishah, 7790 Al Imam Abdul Aziz Ibn Muhammad Ibn Saud, Riyadh 12746 3617
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_68_19

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Osteochondroma is the most common bone tumor. It mainly affects the proximal humerus, tibia, and distal femur. It rarely affects the scapula, especially in the ventral aspect and when it does, winging of the scapula can occur, and can lead to a painful range of motion of the shoulder with a snapping sensation and secondary ribs erosion. Hereditary multiple exostoses (HME) is an autosomal dominant disorder causing multiple osteochondromas mainly in the metaphysis of long bones and it rarely affects the scapula. We present an uncommon presentation in a 7-year-old male with HME who presented with a superolateral ventral large osteochondroma measuring 8 cm × 5.5 cm that caused left scapular winging and left shoulder pain with a secondary ribs deformity. The patient was successfully treated surgically through a direct approach and was followed for 18 months and showed a satisfactory outcome with the regression of the ribs deformity.

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