Oncologic and Functional Outcome of Scapular Chondrosarcoma

Griffin, Anthony M.; Shaheen, Mahmood; Bell, Robert S.; Wunder, Jay S.; Ferguson, Peter C.

doi:10.1245/s10434-008-9975-1

Cited by 21 publications

(17 citation statements)

References 26 publications

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“…Several surgical treatment types are available, such as total scapulectomy, constrained prosthesis and scapular allograft. All of these surgical treatment options result in very little or no shoulder function (2) , (4) , (5) , (6) , (7) .…”

Section: Discussionmentioning

confidence: 99%

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A patient with scapular Ewing sarcoma; 5-year follow-up after extracorporeal irradiation and re-implantation of the scapula, a case report

Hoornenborg

Veltman

Oldenburger

et al. 2013

Journal of Bone Oncology

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In 2007 a 9½-year-old boy was treated with resection, extracorporeal irradiation and re-implantation of the right scapula. He also received chemotherapy.During five year follow-up shoulder function remained largely intact. Subtotal resorption of the scapula occurred, leaving only the glenohumeral joint intact. Sensibility and strength are intact. To date there is no sign of local or metastatic recurrence.

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Section: Discussionmentioning

confidence: 99%

“…Types of cancer affecting the scapula described in literature are chondro sarcoma, synovial sarcoma, Ewing sarcoma (ES) and metastasis (4) , (5) , (6) , (7) , (16) , (17) . Modern treatment of ES of bone in children and adults consists of chemotherapy and local treatment by surgery or radiotherapy or a combination of both.…”

Section: Discussionmentioning

confidence: 99%

A patient with scapular Ewing sarcoma; 5-year follow-up after extracorporeal irradiation and re-implantation of the scapula, a case report

Hoornenborg

Veltman

Oldenburger

et al. 2013

Journal of Bone Oncology

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“…Griffin AM et al reported sixteen patients who underwent partial scapulectomy while eight underwent total scapulectomy. Functional outcome was better in the group undergoing partial scapulectomy with significantly higher score than the total scapulectomy group [20]. Kiss J et al also found the best results were achieved after partial scapulectomy, and after humeral resection reconstructed with fibular transposition and with preservation of the rotator cuff [21].…”

Section: Discussionmentioning

confidence: 94%

Factors that Influence Functional Outcome after Total or Subtotal Scapulectomy: Japanese Musculoskeletal Oncology Group (JMOG) Study

et al. 2014

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BackgroundScapulectomy requires not only joint resection but also wide resection of the shoulder girdle muscles. Even the significance of reconstruction has not yet been determined because of the difficulties in comparing the different conditions. The purpose of this study was to investigate factors that influence functional outcomes after scapulectomy in a multicenter study.MethodsThis retrospective study comprised 48 patients who underwent total or subtotal scapulectomy and were followed for at least one year after surgery. Patients were registered at the Japanese Musculoskeletal Oncology Group affiliated hospitals. Soft tissue reconstruction for joint stabilization was performed when there was enough remaining tissue for reconstruction of the rotator cuff and tendons. In 23 cases, humeral suspension was performed. The average follow-up period was 61.9 months. Multivariate analysis was performed using the patient’s background to determine which factors influence the Enneking functional score or active range of motion.ResultsThe average functional score was 21.1 out of 30. Active shoulder range of motion was 42.7 degree in flexion, 39.7 degree in abduction, 49.6 degree of internal rotation and 16.8 degree of external rotation. The amount of remaining bone influenced functional outcome, which means that preserving the glenoid or the acromion lead to better function compared to total scapulectomy (p<0.01). Factors that influenced each functional measure include the amount of remaining bone, soft tissue reconstruction, the length of the resected humerus and nerve resection (p<0.05).ConclusionAlthough shoulder function was almost eliminated following total or subtotal scapulectomy, minimal resection of bone, and soft tissue reconstruction should lead to better function.

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“…A few studies of total scapulectomy have been published, each of which only contain a small number of cases (Table ). In a study of 13 patients with malignant tumors and a mean follow‐up of 44 months, total scapulectomy followed by humeral suspension was considered to be preferable to forequarter amputation, endoprosthetic reconstruction and allografting.…”

Section: Discussionmentioning

confidence: 99%

Functional Results and Emotional Acceptance after Scapulectomy for Malignant Shoulder Tumors

et al. 2016

Orthopaedic Surgery

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Oncologic and Functional Outcome of Scapular Chondrosarcoma

Abstract: Patients with primary chondrosarcoma of the scapula have an excellent oncologic prognosis with a very low local recurrence and metastatic rate. Functional outcomes are better for patients undergoing partial rather than total scapulectomy.

Cited by 21 publications

References 26 publications

A patient with scapular Ewing sarcoma; 5-year follow-up after extracorporeal irradiation and re-implantation of the scapula, a case report

A patient with scapular Ewing sarcoma; 5-year follow-up after extracorporeal irradiation and re-implantation of the scapula, a case report

Factors that Influence Functional Outcome after Total or Subtotal Scapulectomy: Japanese Musculoskeletal Oncology Group (JMOG) Study

Functional Results and Emotional Acceptance after Scapulectomy for Malignant Shoulder Tumors

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