Glenothoracic fusion. An adjunct to radical scapulectomy.
We describe a surgical procedure used to achieve glenothoracic fusion after one-stage radical, near total scapulectomy for primary or secondary malignant lesions in six patients. The aim was complete excision of the lesion and preservation of the glenoid to provide a fulcrum for movement of the arm. Post-operative assessment involved determination of the range of movement and the application of the Musculoskeletal Tumour Society score and the Constant score to evaluate function. The results showed that a functional range of movement was attainable despite such radical surgery, although there was a considerable reduction in power and ability to lift.
Clarke
A
A
Nottingham Shoulder and Elbow Unit, Nottingham City Hospital, England, UK.
Dewnany
G
G
Neumann
L
L
Wallace
W A
WA
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D001859:Bone Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular; D012540:Scapula / Q000601:surgery*; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome