[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-447601-105":59,"doc-detail-447601-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","a-heavy-burden-on-the-back-surgical-excision-of-a-massive-scapular-osteochondroma-a-case-report","A Heavy Burden on the Back - Surgical Excision of a Massive Scapular Osteochondroma - A Case Report","","Surgical management of a rare dorsal scapular osteochondroma with lateral and ventral extension is described through a pediatric case. A 12-year-old girl had a progressively enlarging right scapular bony swelling from age 7, later causing difficulty lying on the affected side. Imaging confirmed a large osteochondroma extending from the dorsal to ventral aspects via the lateral scapula. En bloc excision was performed, yielding incomplete symptom resolution with no recurrence at follow-up.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-heavy-burden-on-the-back-surgical-excision-of-a-massive-scapular-osteochondroma-a-case-report/447601/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-heavy-burden-on-the-back-surgical-excision-of-a-massive-scapular-osteochondroma-a-case-report/447601.png","ImageObject",300,407,{"name":92,"@type":93},"acoobca","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What makes this scapular osteochondroma case rare?","Question",{"text":113,"@type":114},"The lesion shows dorsal to ventral extension through the lateral scapula, a pattern described as difficult for the patient to tolerate in multiple lying positions.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What symptoms did the 12-year-old patient present with?",{"text":118,"@type":114},"She had a progressively enlarging hard swelling over the right scapular region and difficulty lying on the affected side.",{"name":120,"@type":111,"acceptedAnswer":121},"How was the condition diagnosed and treated?",{"text":122,"@type":114},"X-ray and computed tomography confirmed a large scapular osteochondroma, and the patient underwent en bloc surgical excision of the mass.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},447601,1790796006,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":52,"preview_page_count":4},3985747870733,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Case Report  Journal of Orthopaedic Case Reports 2025 December:15( 12) :Page 238-241   \nA Heavy Burden on the Back: Surgical Excision of a Massive Scapular  \nOsteochondroma –ACase Report  \nV S Sri Hari Ram1, Binoti Sheth1, Burhanuddin Chhathriwala1, Ajay Puri1,  \nNandhini Iyer1, Sai Abhilash1  \nLearning Point of the Article:  \nDorsal scapular osteochondromas with lateral and ventral extension are rare and should be considered in scapular swellings, with surgery reserved for clear indications and outcomes best assessed using Patient-Reported Outcome Measures to strengthen clinical research in  \nbenign bone tumors.  \nAbstract  \nIntroduction: Osteochondromas are the most common benign bone tumors, typically arising from the metaphyseal regions of long bones. However, their occurrence in flat bones, particularly the scapula, is rare. We report a case of a large solitary osteochondroma arising from the dorsal aspect of the scapulaina pediatric patient, which was successfully treated with surgical excision.  \nCase Report: A 12-year-old female presented with a progressively enlarging bony swelling over the right scapular region since the age of 7years, recently associated with difficulty in lying over the affected side. Radiological evaluation, including X-ray and computed tomography scan confirmed a large osteochondroma arising from the inferior angle of the right scapula. This case is unique as the osteochondroma extends from dorsal to ventral aspect through the lateral aspect ofscapula making it difficult for the child to lie on both supine and right lateral positions. The patient underwent enbloc excision, resulting incomplete resolution of symptoms and had no recurrence at follow-up.  \nConclusion: Though uncommon, osteochondroma should be considered in the differential diagnosis of bony swellings over flatbones, such asthe scapula. Earlier surgicalmanagement may yield the best functional and cosmetic outcomes.  \nKeywords: Osteochondroma, scapula, bonyswelling, pediatric bone tumor, surgical excision.  \nIntroduction  \nOsteochondroma or osteocartilaginous exostosis, accounts for approximately 35–50% of benign bone tumors. While commonly found in long bones, such as the femur, tibia, and humerus, involvement of flat bones – especially the scapula – is uncommon, accounting for only 3–4.6% of all osteochondroma cases. Among scapular tumors, osteochondromas account for 14.4%, with the ventral surface being the more common site of occurrence [1, 2]. We present a rare case of a large, solitary  \nosteochondroma arising from the dorsal surface of inferior angle of scapula, which was successfully treated with complete surgical excision.  \nCase Report  \nA 12-year-old female presented to our orthopedic clinic with complaints ofa large, hard swelling over the right scapular region and difficulty in lying on the affected side. The swelling was noted since the age of 7years and gradually increased in size over  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6520](https://doi.org/10.13107/jocr.2025.v15.i12.6520) | Author’s Photo Gallery |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n|  | | | | | | |\n|  | \u003Cbr>1Department of Orthopaedics, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. V S Sri Hari Ram,\u003Cbr>Department of Orthopaedics, Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.\u003Cbr>E-mail: [1997srihari@gmail.com](1997srihari@gmail.com) |  |  |  |  |  |\n| Submitted: 19/09/2025; Review: 06/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  |  |  |  |\n| DOI: [https://doi.org/10.13107/jocr.2025.v15.i12.6520](https://doi.org/10.13107/jocr.2025.v15.i12.6520)\u003Cbr>© The Author(s). 2025 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ([https://creativecommons.org/licenses/by-nc/4.0","cbCaiaxRoicxotMo","https://ap.wps.com/l/cbCaiaxRoicxotMo","pdf",7773610,"English","# Learning Point of the Article\n# Abstract\n# Introduction\n# Case Report\n# Conclusion\n# Keywords","[{\"question\":\"What makes this scapular osteochondroma case rare?\",\"answer\":\"The lesion shows dorsal to ventral extension through the lateral scapula, a pattern described as difficult for the patient to tolerate in multiple lying positions.\"},{\"question\":\"What symptoms did the 12-year-old patient present with?\",\"answer\":\"She had a progressively enlarging hard swelling over the right scapular region and difficulty lying on the affected side.\"},{\"question\":\"How was the condition diagnosed and treated?\",\"answer\":\"X-ray and computed tomography confirmed a large scapular osteochondroma, and the patient underwent en bloc surgical excision of the mass.\"}]","A Heavy Burden on the Back - Surgical Excision of a Massive Scapular Osteochondroma - A Case Report | PDF",1790721714]