Static winged scapula as a result of solitary scapular osteochondroma

[摘要] 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.

[学科分类] 传染病学

[关键词] Winged scapula;osteochondroma