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Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
787
Management of Scapular Tumors
Matthew T Houdek1, Benjamin K Wilke2, Jonathan D Barlow1
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
The Orthopedic Clinics of North America
|November 19, 2022
Summary
Scapular resections for tumors can often preserve the limb. Partial resections and glenoid preservation lead to better functional outcomes than total scapulectomy.
Area of Science:
- Orthopedic Oncology
- Surgical Oncology
Background:
- Scapular resections are significant oncologic surgeries.
- The scapula's soft tissue coverage facilitates negative margin resections.
- Brachial plexus and axillary vessel involvement is uncommon, favoring limb salvage.
Purpose of the Study:
- To evaluate functional outcomes following various scapular resection magnitudes.
- To assess the impact of glenoid preservation on patient results.
- To review the utility of scapular endoprosthetics.
Main Methods:
- Analysis of functional outcomes based on the extent of scapular resection.
- Comparison of outcomes between partial and total scapulectomy.
- Comparison of outcomes with and without glenoid preservation.
Main Results:
- Partial scapulectomy and glenoid preservation correlate with improved functional outcomes.
- Total scapulectomy or glenoid resection is associated with less favorable results.
- Limited data exists on the efficacy of scapular endoprosthetics.
Conclusions:
- Limb-sparing surgery is feasible in most scapular tumor resections.
- The extent of resection significantly influences functional recovery.
- Further research is needed to support the routine use of scapular endoprosthetics.
