Department of Orthopaedics, Graduate School of Medicine, Kanazawa University, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.
Int J Clin Oncol. 2011 Oct;16(5):568-73. doi: 10.1007/s10147-011-0229-z. Epub 2011 Apr 12.
The shoulder girdle is a common site for malignant bone and soft tissue tumors. Total scapulectomy represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. The purpose of this study was to investigate functional outcomes after total scapulectomy.
The study comprised seven patients, four of whom underwent soft tissue reconstruction for joint stabilization, including suture of the biceps tendon onto the clavicle or humeral head, reattachment of the rotator cuff, and/or humeral suspension. The remaining three patients did not undergo soft tissue reconstruction; instead, only the remaining muscles were sutured.
Mean Enneking functional score was 57%. Preservation of elbow, wrist and finger motion resulted in an acceptable level of postoperative limb function. No significant differences in function were observed between the soft tissue reconstruction group and the non-reconstruction group.
Total scapulectomy is a feasible alternative to amputation as it preserves acceptable elbow and hand function.
肩部是恶性骨和软组织肿瘤的常见部位。当整个肩胛骨被肿瘤侵犯且在肿瘤切除过程中可以保留神经血管束时，全肩胛骨切除术是一种有吸引力的截肢替代方法。本研究的目的是研究全肩胛骨切除术后的功能结果。
该研究包括 7 名患者，其中 4 名患者接受了关节稳定的软组织重建，包括将二头肌肌腱缝合到锁骨或肱骨头上、修复肩袖和/或肱骨悬吊。其余 3 名患者未进行软组织重建；相反，仅缝合了剩余的肌肉。
平均恩内金功能评分 57%。保留肘部、手腕和手指运动可获得可接受的术后肢体功能。软组织重建组和非重建组之间的功能无显著差异。
全肩胛骨切除术是截肢的可行替代方法，因为它可保留可接受的肘部和手部功能。
