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Osteochondroma or exostosis is most common primary benign bone tumor and comprising of more than one third of primary bone tumor. Osteochondroma originate mainly from the metaphysis of long bone with more than 35% of cases affecting the bone around the knee and seldom found in flat bones like scapula, that may cause abnormal scapulothoracic movement leading to pain, snapping scapula and pseudowinging of scapula. This article present a novel case of Osteochondroma on ventral aspect of scapula in a 12 years old in an otherwise healthy male causing pseudo winging and snapping of scapula and occasional pain in affected area. X-ray demonstrated a cauliflower like exophytic mass on ventral aspect of right scapula. Computed Tomography and Magnetic Resonance Imaging showed an abnormal bony mass arising from scapula. Surgical en block resection was performed and patient symptoms resolved dramatically. The histopathological diagnosis was osteochondroma. So in a patient with winging and snapping of scapula one should be aware of rare diagnosis osteochondroma along with other more common aetiology.

Pseudo winging and snapping of scapula due to sub scapular osteochondroma-a rare case report