Abstract

GONZALEZ LOPEZ, Miguel et al. Fibromatosis subescapular como causa de escápula alada. Presentación de un caso y revisión bibliográfica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2023, vol.88, n.4, pp.444-450. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2023.88.4.1674.

Winged scapula is usually caused by neurological injuries to both the spinal nerve and the long thoracic nerve. Its presence as a result of a ventral scapular tumor makes initial diagnosis difficult. We present the case of a young woman with limited external shoulder rotation, no known traumatic history, and images consistent with a soft tissue lesion dependent on subscapular muscle aponeurosis, which was confirmed by biopsy as a desmoid tumor. Although it is a benign, self-limiting tumor, it has an alarmingly high rate of relapse after resection, so many treatments are available, and many teams choose to closely monitor the patient’s prognostic factors and functional limitations, obtaining satisfactory outcomes and, in some series, superior to those of surgical treatment.

Keywords : Winged scapula; desmoid tumor; treatment.

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