An abnormal bone lesion of the scapula in a collegiate basketball player: A case report

Matthew O'Brien, Allison Donnell, Jason Miller, Val Gene Iven, Mark Pascale

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: To present the case of a bone lesion of the scapula in a collegiate basketball player. Background: A 19-year-old National Collegiate Athletic Association Division I male basketball player presented with pain in the posterior region of the right shoulder. During practice, he was performing a layup when his arm was forced into hyperflexion by a defender. Evaluation revealed a bone lesion involving the scapular spine and base of the acromion. Differential Diagnosis: Acromioclavicular joint sprain, subacromial bursitis, subscapular bursitis, humeral head contusion, acromial fracture. Treatment: The patient was treated for 2 months with therapeutic modalities and rehabilitation exercises. Because of persistent pain and the risk of a pathologic fracture, open surgical biopsy and bone grafting were then undertaken. Uniqueness: Most simple bone cysts affect the proximal humerus and femur, whereas our patient's lesion was in the acromial complex. Conclusions: Athletic trainers should be alert to the unusual possibility of bone cysts, which are usually identified incidentally when radiographs are obtained for other reasons. Most simple bone cysts are asymptomatic, but a pathologic fracture can occur with trauma.

Original languageEnglish
Pages (from-to)859-863
Number of pages5
JournalJournal of Athletic Training
Volume48
Issue number6
DOIs
StatePublished - 1 Nov 2013

Fingerprint

Bone Cysts
Basketball
Scapula
Bursitis
Spontaneous Fractures
Bone and Bones
Sports
Acromion
Acromioclavicular Joint
Sprains and Strains
Humeral Head
Exercise Therapy
Pain
Bone Transplantation
Contusions
Humerus
Femur
Spine
Arm
Differential Diagnosis

Keywords

  • Bone cysts
  • Chondromyxoid fibromas
  • Shoulder
  • Upper extremity

Cite this

O'Brien, Matthew ; Donnell, Allison ; Miller, Jason ; Iven, Val Gene ; Pascale, Mark. / An abnormal bone lesion of the scapula in a collegiate basketball player : A case report. In: Journal of Athletic Training. 2013 ; Vol. 48, No. 6. pp. 859-863.
@article{594dc6ea54c94e1b989b5509d156e450,
title = "An abnormal bone lesion of the scapula in a collegiate basketball player: A case report",
abstract = "Objective: To present the case of a bone lesion of the scapula in a collegiate basketball player. Background: A 19-year-old National Collegiate Athletic Association Division I male basketball player presented with pain in the posterior region of the right shoulder. During practice, he was performing a layup when his arm was forced into hyperflexion by a defender. Evaluation revealed a bone lesion involving the scapular spine and base of the acromion. Differential Diagnosis: Acromioclavicular joint sprain, subacromial bursitis, subscapular bursitis, humeral head contusion, acromial fracture. Treatment: The patient was treated for 2 months with therapeutic modalities and rehabilitation exercises. Because of persistent pain and the risk of a pathologic fracture, open surgical biopsy and bone grafting were then undertaken. Uniqueness: Most simple bone cysts affect the proximal humerus and femur, whereas our patient's lesion was in the acromial complex. Conclusions: Athletic trainers should be alert to the unusual possibility of bone cysts, which are usually identified incidentally when radiographs are obtained for other reasons. Most simple bone cysts are asymptomatic, but a pathologic fracture can occur with trauma.",
keywords = "Bone cysts, Chondromyxoid fibromas, Shoulder, Upper extremity",
author = "Matthew O'Brien and Allison Donnell and Jason Miller and Iven, {Val Gene} and Mark Pascale",
year = "2013",
month = "11",
day = "1",
doi = "10.4085/1062-6050-48.3.07",
language = "English",
volume = "48",
pages = "859--863",
journal = "Journal of Athletic Training",
issn = "1062-6050",
publisher = "National Athletic Trainers' Association Inc.",
number = "6",

}

An abnormal bone lesion of the scapula in a collegiate basketball player : A case report. / O'Brien, Matthew; Donnell, Allison; Miller, Jason; Iven, Val Gene; Pascale, Mark.

In: Journal of Athletic Training, Vol. 48, No. 6, 01.11.2013, p. 859-863.

Research output: Contribution to journalArticle

TY - JOUR

T1 - An abnormal bone lesion of the scapula in a collegiate basketball player

T2 - A case report

AU - O'Brien, Matthew

AU - Donnell, Allison

AU - Miller, Jason

AU - Iven, Val Gene

AU - Pascale, Mark

PY - 2013/11/1

Y1 - 2013/11/1

N2 - Objective: To present the case of a bone lesion of the scapula in a collegiate basketball player. Background: A 19-year-old National Collegiate Athletic Association Division I male basketball player presented with pain in the posterior region of the right shoulder. During practice, he was performing a layup when his arm was forced into hyperflexion by a defender. Evaluation revealed a bone lesion involving the scapular spine and base of the acromion. Differential Diagnosis: Acromioclavicular joint sprain, subacromial bursitis, subscapular bursitis, humeral head contusion, acromial fracture. Treatment: The patient was treated for 2 months with therapeutic modalities and rehabilitation exercises. Because of persistent pain and the risk of a pathologic fracture, open surgical biopsy and bone grafting were then undertaken. Uniqueness: Most simple bone cysts affect the proximal humerus and femur, whereas our patient's lesion was in the acromial complex. Conclusions: Athletic trainers should be alert to the unusual possibility of bone cysts, which are usually identified incidentally when radiographs are obtained for other reasons. Most simple bone cysts are asymptomatic, but a pathologic fracture can occur with trauma.

AB - Objective: To present the case of a bone lesion of the scapula in a collegiate basketball player. Background: A 19-year-old National Collegiate Athletic Association Division I male basketball player presented with pain in the posterior region of the right shoulder. During practice, he was performing a layup when his arm was forced into hyperflexion by a defender. Evaluation revealed a bone lesion involving the scapular spine and base of the acromion. Differential Diagnosis: Acromioclavicular joint sprain, subacromial bursitis, subscapular bursitis, humeral head contusion, acromial fracture. Treatment: The patient was treated for 2 months with therapeutic modalities and rehabilitation exercises. Because of persistent pain and the risk of a pathologic fracture, open surgical biopsy and bone grafting were then undertaken. Uniqueness: Most simple bone cysts affect the proximal humerus and femur, whereas our patient's lesion was in the acromial complex. Conclusions: Athletic trainers should be alert to the unusual possibility of bone cysts, which are usually identified incidentally when radiographs are obtained for other reasons. Most simple bone cysts are asymptomatic, but a pathologic fracture can occur with trauma.

KW - Bone cysts

KW - Chondromyxoid fibromas

KW - Shoulder

KW - Upper extremity

UR - http://www.scopus.com/inward/record.url?scp=84890421535&partnerID=8YFLogxK

U2 - 10.4085/1062-6050-48.3.07

DO - 10.4085/1062-6050-48.3.07

M3 - Article

C2 - 23725460

AN - SCOPUS:84890421535

VL - 48

SP - 859

EP - 863

JO - Journal of Athletic Training

JF - Journal of Athletic Training

SN - 1062-6050

IS - 6

ER -