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Pseudo-winging of the scapula caused by scapular osteochondroma: review of literature and case report. Hand (N Y) 2015 Jun;10(2):353-6

Date

06/03/2015

Pubmed ID

26034460

Pubmed Central ID

PMC4447661

DOI

10.1007/s11552-014-9659-1

Scopus ID

2-s2.0-84930090527 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

A 20-year-old male was evaluated for winging of the scapula and an enlarging axillary mass of 4 months' duration. Imaging demonstrated a multiloculated cystic lesion that extended into the axilla and superiorly displaced the brachial plexus and axillary vessels surrounding an exostotic mass arising from the scapula. Surgery confirmed the mass to be a benign osteochondroma with a reactive bursa. The long thoracic nerve was intact and the serratus anterior muscle contracted normally with nerve stimulation. The scapular winging resolved completely following resection of the osteochondroma, and shoulder and arm function remained normal. A literature review of causes of pseudo-winging of the scapula was performed. Scapular osteochondroma is a rarely reported cause of scapula winging.

Author List

Flugstad NA, Sanger JR, Hackbarth DA

Author

James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin