The End Results After Total Excision of the Scapula for Sarcoma

Nancrede, Charles B.

doi:10.1097/00000658-190907000-00001

Cited by 15 publications

(5 citation statements)

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“…In 1906, De Nancrede et al [10] introduced shoulder girdle amputation, but currently 95% of cases are treated by limb salvage surgery. In total scapulectomy, most of the muscles surrounding the scapula are resected, thereby eliminating almost all shoulder function.…”

Section: Discussionmentioning

confidence: 99%

Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle

et al. 2011

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“…Syme, in his monograph, described scapulectomy for tumours of this region. However, scapulectomy fell into disrepute when De Nancrede [3] reported high local recurrence in his review of 65 scapulectomies for primary malignant tumours. Various surgical options for scapular tumours have been described.…”

Section: Discussionmentioning

confidence: 99%

The functional and oncological results after scapulectomy for scapular tumours: 2–16-year results

Vahanan

Mohanlal

Bose

et al. 2006

International Orthopaedics (SICO

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Twenty-five patients underwent scapulectomy for various tumours between 1989 and 2005. We describe 23 patients with scapular tumours who were followed-up for a minimum of 2 years after scapulectomy. The average age was 29 years, and two-thirds of the patients were male. Nineteen patients had malignant neoplasms, of which chondrosarcoma was most common, followed by Ewing's sarcoma. Surgical staging was by Enneking's system, with stage IIB being the most frequent. Fifteen patients underwent total scapulectomy, and the rest had their glenoid retained. With an average follow-up period of 66.7 months (23-202 months), functional and oncological outcomes were evaluated for all patients. Two patients had superficial wound infections requiring antibiotics, and one had skin necrosis requiring skin cover. [831][832][833][834][835][836]

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“…Since Syme et al first described total scapulectomy in 1856 as a management for shoulder girdle sarcomas, not only resection techniques but also reconstruction consistently have improved owing to improvements in preoperative imaging evaluation, more effective neoadjuvant chemotherapy, and advances in surgical technique [2] , [3] , [13] . In the field of hip or knee joint reconstruction, allograft, recycled bone graft and prosthetic replacement after bone resection has been a well-established strategy.…”

Section: Discussionmentioning

confidence: 99%

“…There are many procedures, such as humeral suspension, prosthetic replacement, recycled bone grafts, or soft tissue reconstruction. Even though the procedure of scapulectomy has been used for more than 100 years, the optimal reconstruction technique has not yet been determined [2] , [3] . Humeral suspension is commonly performed, but it is not certain whether it contributes to functional outcomes compared with no reconstruction.…”

Section: Introductionmentioning

confidence: 99%

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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The End Results After Total Excision of the Scapula for Sarcoma

Cited by 15 publications

References 0 publications

Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle

Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle

The functional and oncological results after scapulectomy for scapular tumours: 2–16-year results

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

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