Surgical Management of Scapular Osteochondroma Anatomical Considerations: Tips And Tricks

Description

In this informative video presented by Dr. Sergio Rowinski from Sao Paulo, Brazil, viewers are guided through the surgical resection of scapular osteochondromas—rarest tumors that can occur in the body. Dr. Rowinski introduces the case of a 40-year-old woman suffering from multiple osteochondromatosis since childhood, specifically an enormous osteochondroma under her right scapula, leading to significant symptoms and necessitating surgical intervention.



The presentation includes detailed radiographic examinations, demonstrating various imaging views of the tumor, including X-rays and CT scans, highlighting the tumor's size and atypically located position that complicates diagnosis. Dr. Rowinski emphasizes the importance of understanding anatomical landmarks and utilizing a muscle-sparing technique during surgery. This method ensures minimal disruption to surrounding muscle structures while effectively addressing the tumor.



Throughout the video, the surgical procedure's steps are meticulously outlined, showcasing specialized tools like osteotomes and rongeurs used to excise the tumor. The discussion also touches upon the potential for future malignization of these benign tumors, although such occurrences are rare.



Dr. Rowinski wraps up the session by urging the surgical community to consider muscle-sparing approaches as they provide quicker rehabilitation, avoiding unnecessary muscle detachment while still achieving successful oncological outcomes. He invites viewers to engage with his channel, SHOULDERPLANET, aimed at enriching shoulder and elbow medicine and surgery education.

DOI: 10.1302/3114-221011

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