Scapular osteochondromas treated with surgical excision

Nathan L. Frost, Stephen Parada, Mark W. Manoso, Edward Arrington, Paul Benfanti

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

A retrospective review was performed of all osteochondroma excisions at our institution from 1994 to 2007. Postoperative functional assessment was completed with use of the Disabilities of the Arm, Shoulder and Hand (DASH) survey and a self-report questionnaire. Eight osteochondromas were excised at a mean patient age of 21.63 years. Presenting reports included pain, mass, pseudowinging, and snapping of the scapula. Physical examination identified pseudowinging, palpable mass, and pain with shoulder motion. The lesions arose from the ventral surface of the scapula in 5 patients, the dorsal surface in 2, and the inferior acromion in 1. The resected specimen averaged 10.8cm 3. A reactive bursa was found and resected in 4 patients. At mean of 4.17 years postresection, no signs of recurrence were found in 7 patients (88%). The single patient with a recurrence had undergone 2 additional surgical procedures. Six patients (75%) reported no/mild pain with routine and strenuous activities. One patient reported moderate and 1 patient reported moderate/severe pain with routine and strenuous activities. Four patients reported post-resection function as excellent, 2 as good, 1 as average/good, and 1 as average/poor. Six patients (75%) reported feeling very satisfied with the results, 1 reported feeling satisfied, and 1 reported feeling unsatisfied. The average DASH score was 11.7 (range, 0.00-46.67). No winging or pseudowinging was identified in those available for examination, and no difference was identified in range of motion comparing the operative to the nonoperative upper extremity. Near normal functional outcomes can be expected following excision of scapular osteochondromas.

Original languageEnglish (US)
JournalOrthopedics
Volume33
Issue number11
DOIs
StatePublished - Nov 1 2010
Externally publishedYes

Fingerprint

Osteochondroma
Scapula
Emotions
Pain
Arm
Hand
Acromion
Recurrence
Shoulder Pain
Articular Range of Motion
Upper Extremity
Self Report
Physical Examination

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Scapular osteochondromas treated with surgical excision. / Frost, Nathan L.; Parada, Stephen; Manoso, Mark W.; Arrington, Edward; Benfanti, Paul.

In: Orthopedics, Vol. 33, No. 11, 01.11.2010.

Research output: Contribution to journalArticle

Frost, Nathan L. ; Parada, Stephen ; Manoso, Mark W. ; Arrington, Edward ; Benfanti, Paul. / Scapular osteochondromas treated with surgical excision. In: Orthopedics. 2010 ; Vol. 33, No. 11.
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