Scapular osteochondroma with pseudo-winging: a report of two cases

Scapular pseudo-winging caused by ventral osteochondromas is a condition that has been rarely reported in the current literature. This manuscript reports two cases of scapular ventral osteochondromas in pediatric patients. Two female pediatric patients presented at our department with swelling mass of the scapula as well as pseudo-winging. The physical examination revealed a bony mass stemming from the body of the scapula. The diagnostic imaging included radiographs and CT, depicting the presence of ventral osteochondromas located on the body of the scapula in both patients. Surgical excision was performed leading to excellent post-operative results with complete resolution of deformity and symptoms. This case report highlights the role of ventral osteochondromas as a reason for scapular pseudo-winging. Clinical suspicion should be raised among orthopaedic surgeons for proper recognition and targeted management of scapular pseudo-winging cases caused by ventral osteochondromas.