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Bilateral Inferior Angle Ossicles of the Scapula: Pain Generators in a Young Woman

A Case Report

Gilde, Alex K., MD1,a; Henne, Timothy D., MD2,b

doi: 10.2106/JBJS.CC.17.00196
Case Reports

Case: We present the case of a 16-year-old woman with refractory shoulder pain despite nonoperative treatment. The only shoulder pathology that was noted on advanced imaging was an unfused ossicle on the inferior angle of each scapula. She was successfully treated with simple excision bilaterally; as demonstrated by the shoulder scores, there was substantial improvement.

Conclusion: In young patients with vague and refractory shoulder pain with essentially normal radiographic findings, an ossicle on the inferior angle of the scapula may be considered a pain generator. Excision of the ossicle may provide excellent definitive treatment after more common shoulder pathology has been ruled out.

1Michigan State University/Spectrum Health Orthopaedic Residency, Grand Rapids, Michigan

2River Valley Orthopedics, Grand Rapids, Michigan

aE-mail address for A.K. Gilde:

bE-mail address for T.D. Henne:

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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