BILATERAL ELASTOFIBROMA OF THE SCAPULA: A CASE REPORT AND LITERATURE REVIEW

Introduction:Elastofibromas are ill-defined, benign lesions typically located on the inferior pole of the scapula underneath the serratus anterior and latissimusdorsi.Elastofibromas are treated surgically to relieve pain and patients can regain range of motion in the shoulder. Bilateral scapulaelastofibromas are extremely rare. To the best of our knowledge, this report details the first case of symptomatic bilateral elastofibromas of the scapula in a patient younger than 60 years of age.
Case presentation: A 51-year-old woman with diabetes mellitus and hypertension presented to the orthopedic clinic at King Saud University Medical City in August 2022. The patient had begun experiencing dull bilateral shoulder pain, with swelling which began five years. Patient denied any constitutional symptoms. A physical examination revealed a 7 8cm mass on the right scapula and a 6 7cm mass on the left scapula. There was no tenderness over the mass, and in both shoulders, the range of motion was restricted. MRI of both shoulders revealed increased intensity in the T1 andT2 axial and coronal cuts (Figures 3A-D). The right-side mass was 8 9cm, and the left-side mass was 8 7cm. Excisional biopsy is done for both lesions in separate time and sent for histopathology which confirmed the diagnosis of Elastofibroma. Also, the patient regains her full functionality of both shoulders, and the pain was resolved
Conclusion: Elastofibroma can present on both shoulders, lead to chronic shoulder pain and decrease the functionality of the shoulders. Elastofibroma should be diagnosed by MRI and treated surgically by excision to improve the pain and functionality.