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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2007 August;166(4):151-5

language: English

Solitary osteochondroma of the proximal humerus: direct posterior-medial surgical approach

Azzoni R., Cabitza P.

Orthopedic Department, School of Medicine, State University of Milan, Milan, Italy


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After commenting on the incidence, etiology, clinical history, imaging and management of solitary osteochondroma, the authors present the clinical history of one of these neoplasias that was very particular because of its location at the level of the humeral proximal diaphysis and behind and medially in an 8-year-old boy. The symptomatical neoplasia, however, due to its dimension and histogenesis, was removed using a posterior- medial surgical approach described by Bergher in 1989, with a large, rewarding and finest and total view of the neoplasia. The authors emphasise the facility of this surgical approach in comparison with every other suggestion recommended by different authors, on the subject of the anatomical structure of this part of the arm or on the many vascular and nervous structures that are very valuable.

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