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
Hauptverfasser: Hayashi, Katsuhiro, Karita, Mitsuaki, Yamamoto, Norio, Shirai, Toshiharu, Nishida, Hideji, Takeuchi, Akihiko, Kimura, Hiroaki, Miwa, Shinji, Tsuchiya, Hiroyuki
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container_end_page 573
container_issue 5
container_start_page 568
container_title International journal of clinical oncology
container_volume 16
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
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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. 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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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