Öz
Osteokondrom, sık görülen ve genellikle uzun kemiklerin metafizyel bölgelerinde gelişen benign bir kemik tümörüdür. Skapular tutulum ise nadirdir. Bu çalışmada, 1 yıldır devam eden omuz ağrısı ile gelen 66 yaşında kadın hasta sunulmuştur. Hastanın omuz eklemi hareket açıklığında, özellikle abduksiyonda azalma mevcuttu. Direkt grafi, BT ve MRG ile değerlendirilen hastada rotator manşet rupture ile birlikte subakromial osteokondrom tespit edildi. Transakromial mini açık insizyonla osteokondrom total eksize edilip rotator manşet onarıldı. Ameliyat sonrası 19. ayda, hastanın omuz eklem hareketleri ağrısız ve eklem hareket açıklığı artmıştı. Subakromial bölgede nadir görülmesine rağmen osteokondrom, rotator manşet rüptürüne sebep olabilir. Tedavide gecikme olması halinde ilgili yırtığın genişleyebileceği unutulmamalı, erken eksizyonun önemi göz önünde bulundurulmalıdır.
Anahtar Kelimeler
Kaynakça
- Balke M, Schmidt C, Dedy N, Banerjee M, Bouillon B, Liem D. Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta Orthop 2013;84(2):178-83.
- Bigliani LU, Levine WN. Subacromial impingement syndrome. J Bone Joint Surg Am 1997;79(12):1854-68.
- Frost NL, Parada SA, Manoso MW, Arrington E, Benfanti P. Scapular osteochondromas treated with surgical excision. Orthopedics 2010;33(11):804.
- Kumar N, Ramakrishnan V, Johnson GV, Southern S. Endoscopically-assisted excision of scapular osteochondroma. Acta Orthop Scand 1999;70(4):394-6. 5. Citlak A, Akgün U, Bulut T, Aslan C, Mete BD, Sener M. Subacromial osteochondroma: A rare cause of impingement syndrome. Int J Surg Case Rep 2015;6(C): 126-8..
- Neer CS II. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J Bone Joint Surg Am 1972;54(1):41-50.
- Cleeman E, Auerbach JD, Springfield DS. Tumors of the shoulder girdle: A review of 194 cases. J. Shoulder Elbow Surg 2005;14(5):460-5.
- 8) Fukunaga S, Futani H, Yoshiya S. Endoscopically assisted resection of a scapular osteochondroma causing snapping scapula syndrome. World J Surg Oncol 2007;22(5):37
- Van Riet RP, Van Glabbeek F. Arthroscopic resection of a symptomatic snapping subscapular osteochondroma. Acta Orthop Belg 2007;73(2):252-4.
- Unni KK. Osteochondroma. In: Unni KK (ed). Dahlin’s Bone Tumors: General Aspects and Data on 11,087 Cases. 5th ed. Philadelphia: Lippincott-Raven; 1996:11-23.
Öz
Osteochondroma is frequently seen benign bone tumour and generally develops in the metaphyseal sections of long bones. Scapular involvement is rare. In this paper, a 66-year old female is presented with shoulder pain which had been ongoing for 1 year. The range of movement of the shoulder joint had decreased. Shoulder abduction was especially painful. From examinations of direct radiographs, CT and MRI, rotator cuff rupture was determined associated with subacromial osteochondroma. With a transacromial approach, the osteochondroma was excised and the cuff was repaired. At postoperative 19th month, the patient had a pain-free shoulder with increased range of motion. Although rarely seen in the subacromial region, osteochondroma may cause a rotator cuff rupture. It must not be forgotten that if treatment is delayed the tear will widen, and the importance of early excision should be kept in mind.
Anahtar Kelimeler
Kaynakça
- Balke M, Schmidt C, Dedy N, Banerjee M, Bouillon B, Liem D. Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta Orthop 2013;84(2):178-83.
- Bigliani LU, Levine WN. Subacromial impingement syndrome. J Bone Joint Surg Am 1997;79(12):1854-68.
- Frost NL, Parada SA, Manoso MW, Arrington E, Benfanti P. Scapular osteochondromas treated with surgical excision. Orthopedics 2010;33(11):804.
- Kumar N, Ramakrishnan V, Johnson GV, Southern S. Endoscopically-assisted excision of scapular osteochondroma. Acta Orthop Scand 1999;70(4):394-6. 5. Citlak A, Akgün U, Bulut T, Aslan C, Mete BD, Sener M. Subacromial osteochondroma: A rare cause of impingement syndrome. Int J Surg Case Rep 2015;6(C): 126-8..
- Neer CS II. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: A preliminary report. J Bone Joint Surg Am 1972;54(1):41-50.
- Cleeman E, Auerbach JD, Springfield DS. Tumors of the shoulder girdle: A review of 194 cases. J. Shoulder Elbow Surg 2005;14(5):460-5.
- 8) Fukunaga S, Futani H, Yoshiya S. Endoscopically assisted resection of a scapular osteochondroma causing snapping scapula syndrome. World J Surg Oncol 2007;22(5):37
- Van Riet RP, Van Glabbeek F. Arthroscopic resection of a symptomatic snapping subscapular osteochondroma. Acta Orthop Belg 2007;73(2):252-4.
- Unni KK. Osteochondroma. In: Unni KK (ed). Dahlin’s Bone Tumors: General Aspects and Data on 11,087 Cases. 5th ed. Philadelphia: Lippincott-Raven; 1996:11-23.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2017 |
| Gönderilme Tarihi | 2 Kasım 2016 |
| Yayımlandığı Sayı | Yıl 2017 |