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            [0] => Giant Osteochondroma of the Scapula: Rare Localization
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            [0] => Hôpital Ibn El Jazzar, kairouan
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            [0] => Taghouti
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            [0] => Mohamed
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Nom prénom: Mansi Zied
Email: doc.zm@hotmail.fr
Hôpital: Hôpital Ibn El Jazzar, kairouan

 
Nom prénom: Taghouti Mohamed
Email: medtaghouti96@gmail.com
Hôpital: Hôpital Ibn El Jazzar, kairouan

 
Nom prénom: Chneti Islem
Email: 
Hôpital: Hôpital Ibn El Jazzar, kairouan

 
Nom prénom: Ben jaballah Ala
Email: 
Hôpital: Hôpital Ibn El Jazzar, kairouan

 
Nom prénom: Rbai hedi
Email: 
Hôpital: Hôpital Ibn El Jazzar, kairouan

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            [0] => Giant Osteochondroma of the Scapula: Rare Localization

Mansi Zied, Taghouti Mohamed, Chneti Islem, Ben jaballah Ala, Rbai hedi
Ibn El Jazzar Hospital of Kairouan, Department of Orthopaedic and Traumatology, Tunisia.


Introduction: Osteochondroma is the most common benign bone tumor, typically affecting the long bones. Scapular localization, particularly on the dorsal side, is rare.

Case Report: A 24-year-old male presented with a hard, non-painful, slightly mobile mass on the dorsal side of the scapula, causing fatigability, limited shoulder movement, and aesthetic discomfort. Radiological imaging confirmed a large, regular, and corticalized exostosis. The patient underwent en bloc resection, and the pathological examination confirmed an osteochondroma. Post-operative rehabilitation led to a successful recovery without recurrence.

Discussion: Osteochondroma constitutes 35% of benign bone tumors and rarely affects flat bones like the scapula. Complications include bursitis, pain, and reduced shoulder mobility. Diagnosis is typically made through standard radiological imaging, but CT scans or biopsies may be necessary in atypical cases. Surgical treatment is indicated for symptomatic, aesthetically bothersome, or potentially malignant lesions. The risk of malignant transformation is low in solitary exostosis but higher in exostotic disease.

Conclusion: Although osteochondroma is a well-known benign tumor, atypical location or radiological appearance can be misleading. Close clinical and radiological monitoring and surgical excision are necessary if there is any suspicion of sarcomatous degeneration.
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