Endoscopically assisted resection of a scapular osteochondroma causing snapping scapula syndrome
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Endoscopically assisted resection of a scapular osteochondroma causing snapping scapula syndrome Satoru Fukunaga, Hiroyuki Futani* and Shinichi Yoshiya Address: Department of Orthopedic Surgery, Hyogo Medical University, Hyogo, Japan Email: Satoru Fukunaga - [email protected]; Hiroyuki Futani* - [email protected]; Shinichi Yoshiya - [email protected] * Corresponding author
Published: 22 March 2007 World Journal of Surgical Oncology 2007, 5:37
doi:10.1186/1477-7819-5-37
Received: 11 January 2007 Accepted: 22 March 2007
This article is available from: http://www.wjso.com/content/5/1/37 © 2007 Fukunaga et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: Osteochondroma is the most common benign bone tumor in the scapula. This condition might lead to snapping scapula syndrome, which is characterized by painful, audible, and/ or palpable abnormal scapulothoracic motion. In the present case, this syndrome was successfully treated by use of endoscopically assisted resection of the osteochondroma. Case presentation: A 41-year-old man had a tolerable pain in his scapular region over a 10 years' period. The pain developed gradually with shoulder motion, in particular with golf swing since he was aiming a professional golf player career. On physical examination, "clunking" was noted once from 90 degrees of abduction to 180 degrees of shoulder motion. A trans-scapular roentgenogram and computed tomography images revealed an osteochondroma located at the anterior and inferior aspect of the scapula. Removal of the tumor was performed by the use of endoscopically assisted resection. One portal was made at the lateral border of the scapula to introduce a 2.7mm-diameter, 30 degrees Hopkins telescope. The tumor was resected in a piece-by-piece manner by the use of graspers through the same portal. Immediately after the operation pain relief was obtained, and the "clunking" disappeared. CT images showed complete tumor resection. The patient could start playing golf one week after the surgery. Conclusion: Endoscopically assisted resection of osteochondroma of the scapula provides a feasible technique to treat snapping scapula syndrome and obtain early functional recovery with a short hospital stay and cosmetic advantage.
Background Osteochondromas are the most common benign bone tumors of the scapula [1,2]. Osteochondromas usually occur on the anterior surface of the scapula and might cause shoulder discomfort such as pain, limited range of motion with/without winging of the scapula [3,4]. Among those symptoms, the snapping scapula syndrome is characterized by painful, audible, and/or palpable
abnormal scapulothoracic motion. Since the snapping is caused by the osteochondroma, removal of the tumor is required
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