Abstract
Osteochondroma is the most common benign tumor of the scapula, with the highest incidence reported in men in second and third decades of life. 3-15,17-19 It usually arises from the anterior (costal) surface of the scapula. Alarge tumor may cause painful crepitus, bursitis, and abnormal scapulothoracic motion.
Osteochondroma is diagnosed on the basis of radiographs, primarily theY-view of the scapula, supplemented with computed tomography (CT) scans and, where appropriate, magnetic resonance imaging (MRI). Most osteochondromas arising from the anterior surface of the scapula are removed via an approach along the medial border of the scapula.
This technique requires release of the trapezius, the rhomboids, and where appropriate, the levator scapulae. In addition, this technique is associated with an increased risk of injury to the parascapular blood vessels.
This case report describes a technique of trans-scapular approach that has not yet been published in the literature.