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.
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
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