title: An abnormal bone lesion of the scapula in a collegiate basketball player: a case report.
abstract: OBJECTIVE
  To present the case of a bone lesion of the scapula in a collegiate basketball player.
  
  
  BACKGROUND
  A 19-year-old National Collegiate Athletic Association Division I male basketball player presented with pain in the posterior region of the right shoulder. During practice, he was performing a layup when his arm was forced into hyperflexion by a defender. Evaluation revealed a bone lesion involving the scapular spine and base of the acromion.
  
  
  METHODS
  Acromioclavicular joint sprain, subacromial bursitis, subscapular bursitis, humeral head contusion, acromial fracture.
  
  
  METHODS
  The patient was treated for 2 months with therapeutic modalities and rehabilitation exercises. Because of persistent pain and the risk of a pathologic fracture, open surgical biopsy and bone grafting were then undertaken.
  
  
  RESULTS
  Most simple bone cysts affect the proximal humerus and femur, whereas our patient's lesion was in the acromial complex.
  
  
  CONCLUSIONS
  Athletic trainers should be alert to the unusual possibility of bone cysts, which are usually identified incidentally when radiographs are obtained for other reasons. Most simple bone cysts are asymptomatic, but a pathologic fracture can occur with trauma.
authors.affiliation: Oklahoma State University, Stillwater.
authors.forename: Matthew S
authors.initials: MS
authors.lastname: O'Brien
authors.forename: Allison
authors.initials: A
authors.lastname: Donnell
authors.forename: Jason
authors.initials: J
authors.lastname: Miller
authors.forename: Val Gene
authors.initials: VG
authors.lastname: Iven
authors.forename: Mark
authors.initials: M
authors.lastname: Pascale
mesh_terms: D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D000328:Adult; D001265:Athletic Injuries / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D001490:Basketball / Q000293:injuries; D001845:Bone Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D050723:Fractures, Bone / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010146:Pain; D011859:Radiography; D012540:Scapula / Q000293:injuries; D012782:Shoulder / Q000000981:diagnostic imaging; D000070599:Shoulder Injuries; D013177:Sports; D013180:Sprains and Strains / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery