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Humeral osteochondroma causing a subscapularis tear: a rare source of shoulder dysfunction

  • Orthopaedic Surgery
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Abstract

The proximal humerus is a well-known site of predilection for the solitary osteochondroma—the most common benign bone tumor. Subscapularis tears were underreported in the pre-arthroscopic era. Literature about rotator cuff impairment caused by osteochondromas is almost non-existent. We will present the case of a young man, who had a complete non-traumatic subscapularis tear, where the tendon had been peeled off the lesser tuberosity by an osteochondroma. Diagnostic features such as MRI and arthroscopy are emphasized. The patient was successfully treated by open resection of the tumor and reattachment of the tendon with suture anchors.

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References

  1. Bennett WF (2001) Subscapularis, medial, and lateral coracohumeral ligament insertion anatomy. Arthroscopic appearance and incidence of “hidden” rotator interval lesions. Arthroscopy 17:173–180

    Article  PubMed  CAS  Google Scholar 

  2. Buess E, Steuber KU, Waibl B (2005) Open versus arthroscopic rotator cuff repair. A comparative view of 96 cases. Arthroscopy 21:597–604

    Article  PubMed  Google Scholar 

  3. Burkhart SS (1997) Partial repair of massive rotator cuff tears: the evolution of a concept. Orthop Clin North Am 28:125–132

    Article  PubMed  CAS  Google Scholar 

  4. Cardelia JM, Dormans JP, Drummond DS et al (1995) Proximal fibular osteochondroma with associated peroneal nerve palsy: a review of six cases. J Pediatr Orthop 15:574–577

    PubMed  CAS  Google Scholar 

  5. Conrad EU (1998) Tumors and related conditions. In: Rockwood CA, Matsen FA (eds) The shoulder, 2nd edn. Saunders, Philadelphia, p 1133

  6. Fraser RK, Nattrass GR, Chow CW, Ole WG (1996) Pes anserinus syndrome due to solitary tibial spurs and osteochondromas. J Pediatr Orthop 16:247–248

    PubMed  CAS  Google Scholar 

  7. Gerber C, Krushell RJ (1991) Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. J Bone Joint Surg Br 73:389–394

    PubMed  CAS  Google Scholar 

  8. Gfrorer W, Seifert J, Matthes G et al (2005) Solitary osteochondroma of the scapula. A rare differential diagnosis with unspecific shoulder pain. Unfallchirurg 108:684–686

    Article  PubMed  CAS  Google Scholar 

  9. Giudici MD et al (1993) Cartilaginous bone tumors. In: Moser RP (ed) The radiologic clinics of North America. Saunders, Philadelphia, pp 244–248

  10. Lo IK, Burkhart SS (2002) Subscapularis tears: arthroscopic repair of the forgotten rotator cuff tendon. Tech Shoulder Elbow Surg 3:282–291

    Article  Google Scholar 

  11. Nove-Josserand L, Levigne C, Noel E, Walch G (1994) Isolated lesions of the subscapularis muscle. Apropos of 21 cases. Rev Chir Orthop Reparatrice Appar Mot 80:595–601

    PubMed  CAS  Google Scholar 

  12. Onga T, Yamamoto T, Akisue T, Marui T, Kurosaka M (2005) Biceps tendinitis caused by an osteochondroma in the bicipital groove: a rare cause of shoulder pain in a baseball player. Clin Orthop Relat Res 431:241–244

    Article  PubMed  Google Scholar 

  13. Reichmister J, Reeder JD, Gold DL (2000) Osteochondroma of the distal clavicle: an unusual cause of rotator cuff impingement. Am J Orthop 20:807–809

    Google Scholar 

  14. Resnick D (1995) Tumors and tumor-like lesions of bone: Imaging and pathology of specific lesions. In: Resnick D (ed) Resnick. Diagnosis of bone and joint disorders, 3rd edn. Saunders, Philadelphia, pp 3725–3736

  15. Vander Maren C, Guillaumie B, Huge J et al (1994), Osteochondroma of the clavicle and pain syndrome of the shoulder. Apropos of a case. Review of the literature. Rev Chir Orthop Reparatrice Appar Mot 80:334–337

    PubMed  CAS  Google Scholar 

  16. Witthaut J, Steffens KJ, Koob E (1994) Intermittent axillary nerve palsy caused by a humeral exostosis. J Hand Surg (Br) 19:422–423

    Article  CAS  Google Scholar 

  17. Yamamoto T, Tanaka K, Nagira K, et al (2002) Intermittent radial nerve palsy caused by a humeral osteochondroma: a case report. J Shoulder Elbow Surg 11:92–94

    Article  PubMed  Google Scholar 

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Correspondence to Eduard Buess.

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Reize, F., Buess, E. Humeral osteochondroma causing a subscapularis tear: a rare source of shoulder dysfunction. Arch Orthop Trauma Surg 127, 67–70 (2007). https://doi.org/10.1007/s00402-006-0210-x

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  • DOI: https://doi.org/10.1007/s00402-006-0210-x

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