Osteochondroma - scapular

Case contributed by Matt Skalski
Diagnosis certain

Presentation

Prominent scapula with crepitus of the shoulder and snapping.

Patient Data

Age: 30
Gender: Female

Left shoulder

x-ray

A bony exostosis is present along the anterior surface of the medial aspect of the scapular body, extending into the scapulothoracic articulation. 

Annotated image

The osteochondroma is indicated by the white arrow. 

Case Discussion

An osteochondroma arising from the anterior surface of the scapula is a common cause for snapping scapula and/or scapulothoracic bursitis. Abnormal/variant curvature of the scapula or a prominent Lushka tubercle are also common causes. 

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