The objective of this study was to examine the prevalence of incidental shoulder enchondromas on routine magnetic resonance (MR) shoulder imaging. Consecutive routine shoulder MR examinations (N = 477) performed for suspected internal derangement were reviewed for the presence of incidental enchondromas. Incidental enchondromas were detected on 2.1% of routine MR shoulder examinations, the vast majority abutting the physeal plate. This prevalence is important to appreciate, in order to form a meaningful differential diagnosis of pathologic proximal humerus lesions.
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