CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(03): 241-246
DOI: 10.1055/s-0039-1692432
Artigo de Revisão | Review Article
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Subscapular Osteochondroma as a Differential Diagnosis of Winged Scapula[]

Article in several languages: português | English
Marco Aurélio de Oliveira
1  Hospital Infantil Joana de Gusmão, Florianópolis, SC, Brasil
,
1  Hospital Infantil Joana de Gusmão, Florianópolis, SC, Brasil
,
Anastácio Kotzias Neto
1  Hospital Infantil Joana de Gusmão, Florianópolis, SC, Brasil
,
Mário César Korman
1  Hospital Infantil Joana de Gusmão, Florianópolis, SC, Brasil
› Author Affiliations
Further Information

Publication History

24 February 2018

24 July 2018

Publication Date:
27 June 2019 (online)

Abstract

Objective This study aims to report the clinical features of pediatric patients diagnosed with subscapular osteochondroma submitted to surgical treatment at Hospital Infantil Joana de Gusmão (HIJG), in Florianópolis, Santa Catarina, Brazil, between 2003 and 2017.

Methods Analytical, descriptive and retrospective case series of seven patients with subscapular osteochondroma diagnosis.

Results The average age of the analyzed patients was 9.5 years-old; 71% of the patients were male. The mean time between onset of symptoms and the surgical procedure was 1.2 years. Approximately 71% of the patients presented osteochondroma in the right scapula, and 57.1% of the lesions were classified as sessile. At the clinical examination, winged scapula was observed in 85.7%, crepitus in 71.4%, and 42.9% of the patients complained about pain.

Conclusion The winged scapula can have different etiologies, including subscapular osteochondroma. The knowledge about functional anatomy and orthopedic semiology added to the correct systematization approach to bone tumors is the basis for the correct differential diagnosis and adequate treatment.

This study was performed at Hospital Infantil Joana de Gusmão (HIJG), Florianópolis, SC, Brazil.