Abhishek Dussa, Vishwesh Chudasama, Adesh Godge, Pratik Kharche
Optimal patient positioning is critical for safe surgical clearance of ventral scapular tumors. Complete excision leads to immediate relief of mechanical symptoms and excellent functional recovery.
INTRODUCTION: Ventromedial scapular osteochondroma is an uncommon cause of scapulothoracic impingement and "pseudo-winging." Its deep anatomical location often leads to delayed diagnosis, particularly when symptoms mimic snapping scapula syndrome.
CASE REPORT: A 10-year-old boy presented with a 2-month history of left upper back pain and difficulty wearing a school backpack. Examination revealed terminal restriction of shoulder motion and medial scapular pseudo-winging. Magnetic resonance imaging confirmed a 3.5 × 2.2 cm osteochondral lesion arising from the ventral surface of the left scapula. The lesion was completely excised through a posterior approach with the patient in a prone "chicken-wing" position.
CONCLUSION: Optimal patient positioning is critical for safe surgical clearance of ventral scapular tumors. Complete excision leads to immediate relief of mechanical symptoms and excellent functional recovery.