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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Functional results after oncological scapula resections.

Alexander Klein1, Christof Birkenmaier1, Andrea Baur-Melnyk2

  • 1Musculoskeletal Oncology, Department of Orthopaedic Surgery, Physical Medicine and Rehabilitation, University Hospital, LMU, Munich, Germany.

Journal of Shoulder and Elbow Surgery
|August 27, 2021
PubMed
Summary
This summary is machine-generated.

Surgical resection of scapular tumors, while potentially causing functional disability, yields satisfactory outcomes. Partial resections and preserving the supraspinatus muscle improve shoulder function, with good patient acceptance overall.

Keywords:
Bone tumorbiological reconstructionfunctional resultirradiationpseudarthrosisreplantationresection

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Area of Science:

  • Orthopedic surgery
  • Skeletal oncology
  • Musculoskeletal oncology

Background:

  • Scapular tumors are rare, comprising 1.6%-2.8% of skeletal tumors.
  • Resection extent is dictated by tumor location, impacting shoulder function.
  • Limited literature exists on surgical management and functional outcomes.

Purpose of the Study:

  • To evaluate functional outcomes after surgical resection of scapular tumors.
  • To compare outcomes between partial and total scapulectomy.
  • To identify factors influencing functional recovery.

Main Methods:

  • Retrospective analysis of 31 patients with scapular tumors treated surgically.
  • Exclusion of patients treated with curettage only.
  • Assessment using Musculoskeletal Tumor Society (MSTS) and Toronto Extremity Salvage Score (TESS) scores.

Main Results:

  • Partial scapula resections showed significantly better functional results than total scapulectomy.
  • No significant functional difference between benign and malignant lesions.
  • Satisfactory MSTS (median 83.3%) and TESS (median 81.6%) scores were achieved.
  • Supraspinatus muscle preservation and younger age correlated with better outcomes.

Conclusions:

  • Scapular tumor resection can cause functional deficits, but MSTS and TESS scores indicate good patient acceptance and functional recovery.
  • Clinical results are favorable in both short and long-term follow-up.
  • Surgical management, particularly with limb-sparing techniques, offers good functional outcomes for scapular tumors.