case_images: PMC6675934_01
case_images: Attempted surgical scar and right scapula winging.
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case_images: PMC6675934_01_gr1.jpg
case_images: fig0005
case_images: Physical examination showed an asymmetry of his scapulae with a wing-like prominence of his right scapula giving a right medial scapula elevation from thoracic cage of about 4 cm and a difficultly palpable mass with crepitus of the shoulder on mobilization (Fig. 1). Elsewhere on inspection, we had a longitudinal scar of about 7 cm on the medial border of the right scapula from an attempted excision by inexperienced medical personnel (Fig. 1).
case_images: Lateral shoulder view showing a right subscapular mass.
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case_images: PMC6675934_01_gr2.jpg
case_images: fig0010
case_images: Radiographic evaluation showed an irregular bony structure extruding from the scapula (Fig. 2).
case_images: CT scan 3D reconstruction of the right scapula showing exostosis.
case_images: gr3.jpg
case_images: PMC6675934_01_gr3.jpg
case_images: fig0015
case_images: Computed tomography (CT) revealed a bony exostosis along the medial border on the ventral surface of the right scapula (Fig. 3).
case_images: Patient positioning.
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case_images: PMC6675934_01_gr4.jpg
case_images: fig0020
case_images: Patient was placed in a prone position under general anesthesia (Fig. 4).
case_images: Exposure of exostosis.
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case_images: PMC6675934_01_gr5.jpg
case_images: fig0025
case_images: The rhomboid was split bluntly in line with the fibers and subperiosteal dissection allowed full exposure of the exostosis (Fig. 5).
case_images: Exostosis once resected.
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case_images: PMC6675934_01_gr6.jpg
case_images: fig0030
case_images: The specimen measured 9 cm x 5 cm (Fig. 6).
case_images: Scapula after excision of osteochondroma.
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case_images: PMC6675934_01_gr7.jpg
case_images: fig0035
case_images: By three weeks full range of motion was possible without pain or discomfort (Fig. 7).