Mesut TAHTA, EYUP ÇAĞATAY ZENGİN, TUĞRUL BULUT, Cihan ASLAN, Muhittin ŞENER

Rotator manşet rüptürünün nadir bir nedeni: Subakromial osteokondrom

Osteokondrom, sık görülen ve genellikle uzun kemiklerin metafizyel bölgelerinde gelişen benign bir kemik tümörüdür. Skapular tutulum ise nadirdir. Bu çalışmada, yıldır devam eden omuz ağrısı ile gelen 66 yaşında kadın hasta sunulmuştur. Hastanın omuz eklemi hareket açıklığında, özellikle abduksiyonda azalma mevcuttu. Direkt grafi, BT ve MRG ile değerlendirilen hastada rotator manşet rupture ile birlikte subakromial osteokondrom tespit edildi. Transakromial mini açık insizyonla osteokondrom total eksize edilip rotator manşet onarıldı. Ameliyat sonrası 19. ayda, hastanın omuz eklem hareketleri ağrısız ve eklem hareket açıklığı artmıştı. Subakromial bölgede nadir görülmesine rağmen osteokondrom, rotator manşet rüptürüne sebep olabilir. Tedavide gecikme olması halinde ilgili yırtığın genişleyebileceği unutulmamalı, erken eksizyonun önemi göz önünde bulundurulmalıdır.

An uncommon cause of rotator cuff rupture: Subacromial osteochondroma

Osteochondroma is frequently seen benign bone tumour and generally develops in the metaphyseal sections of long bones. Scapular involvement is rare. In this paper, 66-year old female is presented with shoulder pain which had been ongoing for year. The range of movement of the shoulder joint had decreased. Shoulder abduction was especially painful. From examinations of direct radiographs, CT and MRI, rotator cuff rupture was determined associated with subacromial osteochondroma. With transacromial approach, the osteochondroma was excised and the cuff was repaired. At postoperative 19th month, the patient had pain-free shoulder with increased range of motion. Although rarely seen in the subacromial region, osteochondroma may cause rotator cuff rupture. It must not be forgotten that if treatment is delayed the tear will widen, and the importance of early excision should be kept in mind.

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