J Med Res Surg, ISSN: 2582-9572 Volume 4 • Issue 6 • 122 Journal of Medical Research and Surgery Qureshi I, et al., J Med Res Surg 2023, 4:6 Solitary Osteochondroma of Scapula : A Common Entty at an Uncommon Locaton Imran Qureshi 1* , Hamed Sultan Albusaidi Hamed 1 , Parmanand Nathani 1 , Fatema Mohammed Khamis Al Sadairi 1 , Sanobar Bughio 2 1 Department of Radiology, Royal Oman Police Hospital, Muscat, Oman. 2 Department of Radiology, Dr Ziauddin Hospital, Karachi, Pakistan. ABSTRACT Introducton: Osteochondroma are benign bone tumours that ofen afect the metaphysical region of long bones; the scapula is rarely afected. Owing to its bulk efect, scapular osteochondroma may frequently present with symptoms. These tumours typically damage the skeleton's developing ends and stop becoming larger once the skeleton reaches maturity.Suspicion of a cancer should be raised by any increase in size Case Report: A female patent, age 25, complained of a hard lump on her shoulder posteriorly on further imaging it was confrmed as an osteochondroma of scapula Discussion: Osteochondromas must exhibit contnuity with the underlying parent bone cortex and medullary canal. They are made up of cortcal and medullary bone with an overlaying hyaline cartlage cap. They have a very minimal potental for malignancy and are ofen asymptomatc. Conclusion: The cases of osteochondromas in the scapula are relatvely rare, it is crucial to remain vigilant and consider the possibility of malignancy if there are concerning changes in symptoms or size. Keywords: Osteochondroma, Scapula, Bony tumor, Outgrowth, Endochondral, Ossifcaton. Introducton Osteochondromas are benign bone tumors that most commonly occur in the metaphyseal region of long bones, such as the femur or tbia. However, they can also occasionally afect other bones, including the scapula.When osteochondromas develop in the scapula, they can ofen cause symptoms due to their mass efect on the surrounding tssues. These symptoms may include pain, limited range of moton, or even nerve compression if the tumor grows in close proximity to nerves [1,2]. It is important to note that while osteochondromas are generally benign, any increase in swelling or changes in symptoms should raise a level of suspicion for malignancy. It is interestng to menton that osteochondromas predominantly afect the growing ends of the skeleton, commonly during childhood or adolescence. As an individual reaches skeletal maturity, the growth of these tumors typically ceases [3]. However, in some cases, osteochondromas can contnue to grow even afer skeletal maturity. When evaluatng a scapular osteochondroma, imaging studies such as X-rays, CT scan or MRI scans are commonly used to assess the size, locaton, and integrity of the tumor [4]. These studies help determine the best course of acton, whether it be close monitoring, surgical removal, or further investgaton if malignancy is suspected.While cases of osteochondromas in the scapula are relatvely rare compared to other locatons, it is crucial for healthcare providers to remain vigilant and consider the possibility of malignancy if there are concerning changes in symptoms or size. Timely diagnosis and appropriate management are essental for ensuring the best possible outcomes for patents. Case Report This case report presents a 25-year-old female who presented in the OPD with complained of a hard lump on her posterior shoulder, accompanied by nonspecifc pain in the shoulder and neck for at least one year. The patent denied any history of weight loss, trauma, loss of appette, or other consttutonal symptoms. Additonally, there was no family history of similar complaints. Physical examinaton revealed no other swelling in the body, except for a non-mobile, painless, hard lump located on the body of the right scapula dorsally, which moved with the scapula. Her plain radiograph of chest Figure 1 shows a single elongated bony outgrowth which was seen projectng on medial margin of the scapula and extending superiroly most likely orginatng from medial border of right scapula. There was no fracture seen. To further investgate this intriguing fnding, we decided to conduct a Computed Tomography (CT) scan Case Report Correspondence to: Imran Qureshi, Department of Radiology, Royal Oman Police Hospital, Muscat, Oman. Received date: November 19, 2023; Accepted date: November 30, 2023; Published date: December 07, 2023 Citaton: Qureshi I, Hamed HSA, Nathani P, et al. Solitary Osteochondroma of Scapula : A Common Entty at an Uncommon Locaton. J Med Res Surg. 2023;4(6):115- 117. doi:10.52916/jmrs234122 Copyright: ©2023 Qureshi I, et al. This is an open-access artcle distributed under the terms of the Creatve Commons Atributon License, which permits unrestricted use, distributon and reproducton in any medium, provided the original author and source are credited. Page 115 of 117 Figure 1: X-Ray (PA view) chest shows bony out growth from medial border of right scapula. . .