Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle
Background The shoulder girdle is a common site for malignant bone and soft tissue tumors. Total scapulectomy represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. The purpose of this stud...
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Veröffentlicht in: | International journal of clinical oncology 2011-10, Vol.16 (5), p.568-573 |
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container_title | International journal of clinical oncology |
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creator | Hayashi, Katsuhiro Karita, Mitsuaki Yamamoto, Norio Shirai, Toshiharu Nishida, Hideji Takeuchi, Akihiko Kimura, Hiroaki Miwa, Shinji Tsuchiya, Hiroyuki |
description | Background
The shoulder girdle is a common site for malignant bone and soft tissue tumors. Total scapulectomy represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. The purpose of this study was to investigate functional outcomes after total scapulectomy.
Patients and methods
The study comprised seven patients, four of whom underwent soft tissue reconstruction for joint stabilization, including suture of the biceps tendon onto the clavicle or humeral head, reattachment of the rotator cuff, and/or humeral suspension. The remaining three patients did not undergo soft tissue reconstruction; instead, only the remaining muscles were sutured.
Results
Mean Enneking functional score was 57%. Preservation of elbow, wrist and finger motion resulted in an acceptable level of postoperative limb function. No significant differences in function were observed between the soft tissue reconstruction group and the non-reconstruction group.
Conclusion
Total scapulectomy is a feasible alternative to amputation as it preserves acceptable elbow and hand function. |
doi_str_mv | 10.1007/s10147-011-0229-z |
format | Article |
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The shoulder girdle is a common site for malignant bone and soft tissue tumors. Total scapulectomy represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. The purpose of this study was to investigate functional outcomes after total scapulectomy.
Patients and methods
The study comprised seven patients, four of whom underwent soft tissue reconstruction for joint stabilization, including suture of the biceps tendon onto the clavicle or humeral head, reattachment of the rotator cuff, and/or humeral suspension. The remaining three patients did not undergo soft tissue reconstruction; instead, only the remaining muscles were sutured.
Results
Mean Enneking functional score was 57%. Preservation of elbow, wrist and finger motion resulted in an acceptable level of postoperative limb function. No significant differences in function were observed between the soft tissue reconstruction group and the non-reconstruction group.
Conclusion
Total scapulectomy is a feasible alternative to amputation as it preserves acceptable elbow and hand function.</description><identifier>ISSN: 1341-9625</identifier><identifier>EISSN: 1437-7772</identifier><identifier>DOI: 10.1007/s10147-011-0229-z</identifier><identifier>PMID: 21480004</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Adult ; Aged ; Amputation ; Bone Neoplasms - pathology ; Bone Neoplasms - surgery ; Cancer ; Cancer Research ; Elbow Joint - surgery ; Female ; Humans ; Humerus - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Oncology ; Original Article ; Prostheses and Implants ; Rotator Cuff - surgery ; Sarcoma - pathology ; Sarcoma - surgery ; Scapula - physiopathology ; Scapula - surgery ; Shoulder ; Shoulder Joint - pathology ; Shoulder Joint - surgery ; Soft Tissue Neoplasms - pathology ; Soft Tissue Neoplasms - surgery ; Surgical Oncology ; Surgical outcomes ; Surgical techniques ; Wrist Joint - surgery</subject><ispartof>International journal of clinical oncology, 2011-10, Vol.16 (5), p.568-573</ispartof><rights>Japan Society of Clinical Oncology 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c522t-6545d57ee0f4096e67e27747387949f86ba9ed44bb577511e35bb923dbe246d3</citedby><cites>FETCH-LOGICAL-c522t-6545d57ee0f4096e67e27747387949f86ba9ed44bb577511e35bb923dbe246d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10147-011-0229-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10147-011-0229-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21480004$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayashi, Katsuhiro</creatorcontrib><creatorcontrib>Karita, Mitsuaki</creatorcontrib><creatorcontrib>Yamamoto, Norio</creatorcontrib><creatorcontrib>Shirai, Toshiharu</creatorcontrib><creatorcontrib>Nishida, Hideji</creatorcontrib><creatorcontrib>Takeuchi, Akihiko</creatorcontrib><creatorcontrib>Kimura, Hiroaki</creatorcontrib><creatorcontrib>Miwa, Shinji</creatorcontrib><creatorcontrib>Tsuchiya, Hiroyuki</creatorcontrib><title>Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle</title><title>International journal of clinical oncology</title><addtitle>Int J Clin Oncol</addtitle><addtitle>Int J Clin Oncol</addtitle><description>Background
The shoulder girdle is a common site for malignant bone and soft tissue tumors. Total scapulectomy represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. The purpose of this study was to investigate functional outcomes after total scapulectomy.
Patients and methods
The study comprised seven patients, four of whom underwent soft tissue reconstruction for joint stabilization, including suture of the biceps tendon onto the clavicle or humeral head, reattachment of the rotator cuff, and/or humeral suspension. The remaining three patients did not undergo soft tissue reconstruction; instead, only the remaining muscles were sutured.
Results
Mean Enneking functional score was 57%. Preservation of elbow, wrist and finger motion resulted in an acceptable level of postoperative limb function. No significant differences in function were observed between the soft tissue reconstruction group and the non-reconstruction group.
Conclusion
Total scapulectomy is a feasible alternative to amputation as it preserves acceptable elbow and hand function.</description><subject>Adult</subject><subject>Aged</subject><subject>Amputation</subject><subject>Bone Neoplasms - pathology</subject><subject>Bone Neoplasms - surgery</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Elbow Joint - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Humerus - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Prostheses and Implants</subject><subject>Rotator Cuff - surgery</subject><subject>Sarcoma - pathology</subject><subject>Sarcoma - surgery</subject><subject>Scapula - physiopathology</subject><subject>Scapula - surgery</subject><subject>Shoulder</subject><subject>Shoulder Joint - pathology</subject><subject>Shoulder Joint - surgery</subject><subject>Soft Tissue Neoplasms - pathology</subject><subject>Soft Tissue Neoplasms - surgery</subject><subject>Surgical Oncology</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Wrist Joint - surgery</subject><issn>1341-9625</issn><issn>1437-7772</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU9rFjEQh4NYbK1-AC8SvOhl2ySbv0cpVoVCL72H7O7s2y3ZzWsmObSf3ry8VUHQ0wyTZ56B_Ah5x9kFZ8xcImdcmo5x3jEhXPf0gpxx2ZvOGCNetr6XvHNaqFPyGvGBMW60Eq_IqeDSMsbkGYnXdRvLkrYQaaplTCsgDXOBTEsqbYhj2NcIY0nrI51TpmuIy24LW6FD2oC2Caa50LIgVqClrikjXTZa7oHifapxaq7dkqcIb8jJHCLC2-d6Tu6uv9xdfetubr9-v_p8041KiNJpJdWkDACbJXMatAFhjDS9NU662eohOJikHAZljOIcejUMTvTTAELqqT8nH4_afU4_KmDx64IjxBg2SBW9dVaxnhnWyE__Jbl02jqprW3oh7_Qh1Rz-7aDz1jupJUN4kdozAkxw-z3eVlDfvSc-UNk_hiZb5H5Q2T-qe28fxbXYYXp98avjBogjgC2p20H-c_lf1t_Aodkois</recordid><startdate>20111001</startdate><enddate>20111001</enddate><creator>Hayashi, Katsuhiro</creator><creator>Karita, Mitsuaki</creator><creator>Yamamoto, Norio</creator><creator>Shirai, Toshiharu</creator><creator>Nishida, Hideji</creator><creator>Takeuchi, Akihiko</creator><creator>Kimura, Hiroaki</creator><creator>Miwa, Shinji</creator><creator>Tsuchiya, Hiroyuki</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>20111001</creationdate><title>Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle</title><author>Hayashi, Katsuhiro ; Karita, Mitsuaki ; Yamamoto, Norio ; Shirai, Toshiharu ; Nishida, Hideji ; Takeuchi, Akihiko ; Kimura, Hiroaki ; Miwa, Shinji ; Tsuchiya, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c522t-6545d57ee0f4096e67e27747387949f86ba9ed44bb577511e35bb923dbe246d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Amputation</topic><topic>Bone Neoplasms - pathology</topic><topic>Bone Neoplasms - surgery</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>Elbow Joint - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Humerus - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Prostheses and Implants</topic><topic>Rotator Cuff - surgery</topic><topic>Sarcoma - pathology</topic><topic>Sarcoma - surgery</topic><topic>Scapula - physiopathology</topic><topic>Scapula - surgery</topic><topic>Shoulder</topic><topic>Shoulder Joint - pathology</topic><topic>Shoulder Joint - surgery</topic><topic>Soft Tissue Neoplasms - pathology</topic><topic>Soft Tissue Neoplasms - surgery</topic><topic>Surgical Oncology</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Wrist Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayashi, Katsuhiro</creatorcontrib><creatorcontrib>Karita, Mitsuaki</creatorcontrib><creatorcontrib>Yamamoto, Norio</creatorcontrib><creatorcontrib>Shirai, Toshiharu</creatorcontrib><creatorcontrib>Nishida, Hideji</creatorcontrib><creatorcontrib>Takeuchi, Akihiko</creatorcontrib><creatorcontrib>Kimura, Hiroaki</creatorcontrib><creatorcontrib>Miwa, Shinji</creatorcontrib><creatorcontrib>Tsuchiya, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayashi, Katsuhiro</au><au>Karita, Mitsuaki</au><au>Yamamoto, Norio</au><au>Shirai, Toshiharu</au><au>Nishida, Hideji</au><au>Takeuchi, Akihiko</au><au>Kimura, Hiroaki</au><au>Miwa, Shinji</au><au>Tsuchiya, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle</atitle><jtitle>International journal of clinical oncology</jtitle><stitle>Int J Clin Oncol</stitle><addtitle>Int J Clin Oncol</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>16</volume><issue>5</issue><spage>568</spage><epage>573</epage><pages>568-573</pages><issn>1341-9625</issn><eissn>1437-7772</eissn><abstract>Background
The shoulder girdle is a common site for malignant bone and soft tissue tumors. Total scapulectomy represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. The purpose of this study was to investigate functional outcomes after total scapulectomy.
Patients and methods
The study comprised seven patients, four of whom underwent soft tissue reconstruction for joint stabilization, including suture of the biceps tendon onto the clavicle or humeral head, reattachment of the rotator cuff, and/or humeral suspension. The remaining three patients did not undergo soft tissue reconstruction; instead, only the remaining muscles were sutured.
Results
Mean Enneking functional score was 57%. Preservation of elbow, wrist and finger motion resulted in an acceptable level of postoperative limb function. No significant differences in function were observed between the soft tissue reconstruction group and the non-reconstruction group.
Conclusion
Total scapulectomy is a feasible alternative to amputation as it preserves acceptable elbow and hand function.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>21480004</pmid><doi>10.1007/s10147-011-0229-z</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Aged Amputation Bone Neoplasms - pathology Bone Neoplasms - surgery Cancer Cancer Research Elbow Joint - surgery Female Humans Humerus - surgery Male Medicine Medicine & Public Health Middle Aged Oncology Original Article Prostheses and Implants Rotator Cuff - surgery Sarcoma - pathology Sarcoma - surgery Scapula - physiopathology Scapula - surgery Shoulder Shoulder Joint - pathology Shoulder Joint - surgery Soft Tissue Neoplasms - pathology Soft Tissue Neoplasms - surgery Surgical Oncology Surgical outcomes Surgical techniques Wrist Joint - surgery |
title | Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle |
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