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The neck, Thoracic Inlet and Outlet, the Axilla and Chest Wall, the Ribs, Sternum and Clavicles.
Published in Fred W Wright, Radiology of the Chest and Related Conditions, 2022
Elastofibroma of chest wall - this is a benign pseudotumour, probably caused by reactive hyperplasia of elastic fibres secondary to mechanical stimulation and is usually seen in the subscapular region between the tip of the scapula and the chest wall as an asymptomatic mass in elderly patients. It may also be found in the elbow below the olecranon, in relation to the ischial tuberosities, greater trochanters, etc. Negamine (1982) from Japan reviewed approximately 300 cases and Berthoty et al. (1986) reported one bilateral case examined by CT in which the subscapular mass was non-homogeneous, with irregular low-density streaking, but no calcification, as may be seen with desmoids and liposarcomas. Bilateral cases may occur but are typically asymmetrical - the author saw one case in a man who repeatedly lifted heavy TV sets.
Arthroscopic resection of the superomedial scapula and scapulothoracic bursectomy
Published in Andreas B. Imhoff, Jonathan B. Ticker, Augustus D. Mazzocca, Andreas Voss, Atlas of Advanced Shoulder Arthroscopy, 2017
MRI has been shown to effectively identify soft tissue lesions associated with snapping scapula syndrome, including enlarged bursa. The primary benefit of MRI is the ability to rule out a soft tissue tumor such as an elastofibroma.28 MRI can also be useful to evaluate the presence of a detached muscle from the scapula that may be resulting in pain and dysfunction.29 Because of the improved ability to determine the location of bony impingement, 3D CT is preferred over MRI as the imaging modality of choice in these patients, unless a soft tissue tumor or muscle detachment is suspected.30
Musculoskeletal (including trauma and soft tissues)
Published in Dave Maudgil, Anthony Watkinson, The Essential Guide to the New FRCR Part 2A and Radiology Boards, 2017
Dave Maudgil, Anthony Watkinson
Elastofibroma is a benign tumour secondary to mechanical friction; it is bilateral in 25%. The muscle most commonly affected by focal herniation through the fascial defect is the tibialis anterior. This often requires surgical repair. Aggressive extra-abdominal fibromatosis is a benign aggressively growing soft-tissue neoplasm. Seventy per cent grow in the extremities and 75% recur within two years of surgery. MRI is poor at completely distinguishing lipomatous tumours, however, the sarcomatous variety does enhance after intravenous contrast.
Elastofibroma dorsi: a case report of bilateral occurrence and review of literature
Published in Acta Chirurgica Belgica, 2021
Glenn De Weerdt, Veronique Verhoeven, Ina Vrints, Filip Thiessen, Thierry Tondu
Elastofibroma dorsi is a benign connective tissue tumor that most frequently appears subscapular as shown in this case. It is not uncommon for it to present bilaterally, thus excluding malignancy. Therefore, it is judicious to carefully examine the contralateral side. But one has to be aware that ED does not necessary affect both sides simultaneously. In order to diagnose ED and differentiate from other tumors MRI is ought to be sufficient, making tissue biopsy obsolete. In order to treat this condition and resolve the corresponding symptoms, complete surgical excision should be carried out. If taken under consideration such a surgical procedure, one has to be aware of the high risk of seroma formation, as occurred in this case on both sides. That is why we recommend to only excise symptomatic ED after carrying out radiological investigation (MRI) as postulated in our flow chart.
Elastofibroma presented as shoulder pain in an amateur swimmer: screening for referral in physiotherapy. A case report
Published in Physiotherapy Theory and Practice, 2022
Fabrizio Brindisino, Firas Mourad, Filippo Maselli
Elastofibroma (EF) is a benign and rare fibroblast/myofibroblast tumor (Fletcher, Unni, and Mertens, 2002). EF was first described by Jarvi and Saxen (1961). It is usually located near the periosteum of the ribs, most often the sixth, the seventh and the eighth ribs, beneath the rhomboid major and latissimus dorsi muscles adjacent to the inferior angle of the scapula (Deveci et al., 2017). Pathologically, EF consists of abnormal elastic fibrils and fibroblasts occurring in a mixture of normal collagen fiber bundles and a collection of mature adipose cells (Tepe et al., 2019; Tsikkinis et al., 2014).