Extended Curettage and Fibular Grafting in Enchondroma of the Acromion

We report the case of a six-year-old male child with progressive pain and swelling of the right shoulder for six months. On examination, there was a 7x7 cm globular, tender swelling with firm consistency over the posterolateral corner of the right shoulder. Radiographs showed an expansile lytic lesi...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2020-04, Vol.12 (4), p.e7630
Main Authors: Bansal, Kuldeep, Shahi, Pratyush, Jain, Anil K, Dhammi, Ish K, Kumar, Saurabh
Format: Article
Language:English
Subjects:
Biopsy
Cartilage
Case reports
Cysts
Medical imaging
Oncology
Orthopedics
Pain
Range of motion
Skin & tissue grafts
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Summary:We report the case of a six-year-old male child with progressive pain and swelling of the right shoulder for six months. On examination, there was a 7x7 cm globular, tender swelling with firm consistency over the posterolateral corner of the right shoulder. Radiographs showed an expansile lytic lesion in the acromion process of the scapula. Biopsy showed lobules of hypocellular cartilage separated by fibroconnective stroma suggestive of an enchondroma. Extended curettage and fibular bone grafting of the lesion was done. At one-year follow-up, the patient was symptom-free and had full, painless shoulder range of motion. To the best of our knowledge, there is no published record of an enchondroma of the acromion.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.7630