Endoscopically assisted resection of a scapular osteochondroma causing snapping scapula syndrome.
Endoscopically assisted resection of a scapular osteochondroma causing snapping scapula syndrome.
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DOI：
10.1186/1477-7819-5-37
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发表时间：
2007-03-22
影响因子：
3.2
通讯作者：
Yoshiya, Shinichi
中科院分区：
文献类型：
--
作者：
Fukunaga, Satoru;Futani, Hiroyuki;Yoshiya, Shinichi
背景：骨软骨瘤是肩胛骨最常见的良性骨肿瘤。这种情况可能导致肩胛骨弹响综合征，其特征是疼痛、可听到和/或可触及的肩胛胸运动异常。在这种情况下，这种综合征是成功地治疗使用内窥镜辅助切除的骨chondroma.CASE介绍：一个41岁的男子有一个可以忍受的疼痛，在他的肩胛骨区域超过10年的时间。疼痛随着肩部运动逐渐发展，特别是随着高尔夫挥杆，因为他的目标是职业高尔夫球员生涯。在体格检查中，从90度外展到180度肩关节运动时，发现一次“叮当声”。经肩胛骨X线片和计算机断层扫描图像显示骨软骨瘤位于肩胛骨的前面和下面。通过使用内窥镜辅助切除进行肿瘤切除。在肩胛骨的外侧边缘制作一个入口，以引入直径2.7 mm、30度的霍普金斯望远镜。通过同一入路使用抓钳以逐块方式切除肿瘤。手术后立即获得疼痛缓解，并且“叮当声”消失。CT图像显示肿瘤完全切除。患者可以开始打高尔夫球一个星期后surgic.CONCLUSION：内镜辅助切除肩胛骨骨软骨瘤提供了一种可行的技术，治疗肩胛骨弹响综合征，并获得早期功能恢复，住院时间短，美观的优势。
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 2.7-mm-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.