Case Report
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Enchondroma of acromion: case report of an unusual tumor location

Year 2024, Volume: 6 Issue: 1, 105 - 107, 15.01.2024
https://doi.org/10.38053/acmj.1323522

Abstract

Enchondroma is a benign cartilaginous tumor and is rarely located on the shoulder girdle. The lesion that affects the subacromial area can cause rotator cuff impingement’s clinical signs. Our aim is to present this patient who has shoulder pain and was finally diagnosed with an acromial enchondroma. A 62-year-old female patient had an insidious left shoulder pain in the last 2 years. At the physical examination of the left shoulder, subacromial impingement syndrome’s sign was noticed. Plain radiographs didn’t have any typical features and magnetic resonance imaging (MRI) images were used for diagnosis. Well-circumscribed hypointense content on T1-weighted images was observed, and the lesion was seen as hyperintense on T2-weighted images. At the same time, subacromial effusion was noticed. Because of enchondroma’s small size, the patient was followed up with medical treatment and radiographical features. At one year follow-up, there was no change in the size of the lesion and no increased complaint about her left shoulder. Physicians should keep in mind that enchondroma may occur rarely in acromion and this condition may cause subacromial impingement. Therewithal, this diagnosis which is a rare reason for subacromial impingement syndrome should be considered in the differential diagnosis of shoulder pain.

References

  • Traistaru MR, Kamal D, Ciurea RN, et al. Hand enchondroma - complete evaluation and rehabilitation. Rom J Morphol Embryol. 2018;59(4):1083-1089.
  • Lu H, Chen Q, Yang H, Shen H. Enchondroma in the distal phalanx of the finger: An observational study of 34 cases in a single institution. Medicine (Baltimore). 2016;95(38): e4966.
  • Hakim DN, Pelly T, Kulendran M, Caris JA. Benign tumours of the bone: A review. J Bone Oncol. 2015;4(2):37-41.
  • Pianta TJ, Baldwin PS, Obopilwe E, Mazzocca AD, Rodner CM, Silverstein EA. A biomechanical analysis of treatment options for enchondromas of the hand. Hand (N Y). 2013;8(1):86-91.
  • O’Connor MI, Bancroft LW. Benign and malignant cartilage tumors of the hand. Hand Clin. 2004;20(3):317-323.
  • Puchner SE, Panotopoulos J, Puchner R, Schuh R, Windhager R, Funovics PT. Primary malignant tumours of the scapula--a review of 29 cases. Int Orthop. 2014;38(10):2155-2162.
  • López-Martín N, Miguel I, Calvo E. Rotator cuff impingement due to enchondroma of the acromion. Acta Orthopaedica Belgica. 2006;71(6):732-735.
  • Omlor GW, Lohnherr V, Lange J, et al. Outcome of conservative and surgical treatment of enchondromas and atypical cartilaginous tumors of the long bones: Retrospective analysis of 228 patients. BMC Musculoskelet Disord. 2019;20(1):1-12.
  • Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clinical Biomechanics. 2003;18(5):369-379.
Year 2024, Volume: 6 Issue: 1, 105 - 107, 15.01.2024
https://doi.org/10.38053/acmj.1323522

Abstract

References

  • Traistaru MR, Kamal D, Ciurea RN, et al. Hand enchondroma - complete evaluation and rehabilitation. Rom J Morphol Embryol. 2018;59(4):1083-1089.
  • Lu H, Chen Q, Yang H, Shen H. Enchondroma in the distal phalanx of the finger: An observational study of 34 cases in a single institution. Medicine (Baltimore). 2016;95(38): e4966.
  • Hakim DN, Pelly T, Kulendran M, Caris JA. Benign tumours of the bone: A review. J Bone Oncol. 2015;4(2):37-41.
  • Pianta TJ, Baldwin PS, Obopilwe E, Mazzocca AD, Rodner CM, Silverstein EA. A biomechanical analysis of treatment options for enchondromas of the hand. Hand (N Y). 2013;8(1):86-91.
  • O’Connor MI, Bancroft LW. Benign and malignant cartilage tumors of the hand. Hand Clin. 2004;20(3):317-323.
  • Puchner SE, Panotopoulos J, Puchner R, Schuh R, Windhager R, Funovics PT. Primary malignant tumours of the scapula--a review of 29 cases. Int Orthop. 2014;38(10):2155-2162.
  • López-Martín N, Miguel I, Calvo E. Rotator cuff impingement due to enchondroma of the acromion. Acta Orthopaedica Belgica. 2006;71(6):732-735.
  • Omlor GW, Lohnherr V, Lange J, et al. Outcome of conservative and surgical treatment of enchondromas and atypical cartilaginous tumors of the long bones: Retrospective analysis of 228 patients. BMC Musculoskelet Disord. 2019;20(1):1-12.
  • Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clinical Biomechanics. 2003;18(5):369-379.
There are 9 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Case Report
Authors

Şafak Aydın Şimşek 0000-0003-2250-8043

Tolgahan Cengiz 0000-0003-2363-0198

Alparslan Yurtbay 0000-0002-8156-3504

Hüseyin Sina Coşkun 0000-0003-2965-3112

Nevzat Dabak 0000-0002-4591-7897

Publication Date January 15, 2024
Published in Issue Year 2024 Volume: 6 Issue: 1

Cite

AMA Aydın Şimşek Ş, Cengiz T, Yurtbay A, Coşkun HS, Dabak N. Enchondroma of acromion: case report of an unusual tumor location. Anatolian Curr Med J / ACMJ / acmj. January 2024;6(1):105-107. doi:10.38053/acmj.1323522

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