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Subtotal Scapulectomy With Scapulothoracic Fusion and Local Tendon Transfer for Management of Chondrosarcoma

Schoch, Bradley MD; Shives, Thomas MD; Elhassan, Bassem MD

Journal of the American Academy of Orthopaedic Surgeons: June 2016 - Volume 24 - Issue 6 - p 405–409
doi: 10.5435/JAAOS-D-16-00048
Case Report

Scapulectomy can dramatically alter glenohumeral function and the ability of patients to conduct activities of daily living. In oncologic cases, treatment of the tumor can compromise local musculature, making successful reconstruction difficult to achieve. Depending on the resection level, local musculature may be inadequate to restore shoulder range of motion and/or glenohumeral stability. Surgeons have attempted to address these issues via soft-tissue repairs, allograft replacement, and prosthetic replacement, with variable success. Outcomes are better when a greater portion of the scapula is preserved, thus saving functional rotator cuff muscle bellies. However, preservation of significant rotator cuff musculature is not routinely possible. To our knowledge, no authors in the English-language orthopaedic literature have reported on local tendon transfers as a technique to augment and reconstruct the rotator cuff in a patient with previous scapulectomy.

From the Department of Orthopedic Surgery, Thomas Jefferson University, Philadelphia, PA (Dr. Schoch) and the Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN (Dr. Shives and Dr. Elhassan).

Correspondence to Dr. Elhassan: Elhassan.Bassem@mayo.edu

None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Schoch, Dr. Shives, and Dr. Elhassan.

Received January 19, 2016

Accepted March 13, 2016

© 2016 by American Academy of Orthopaedic Surgeons
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