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April 1990

Excellent Shoulder Function Is Attainable After Partial or Total Scapulectomy: Analysis at Prolonged Follow-up

Author Affiliations

From the Surgery Branch, National Cancer Institute, Bethesda, Md. Reprint requests to Bldg 10, Room 2B47, Tumor Immunology Section,

Arch Surg. 1990;125(4):537-542. doi:10.1001/archsurg.1990.01410160125024

• We reviewed six cases of primary sarcomas requiring scapulectomy within the past 13 years in the Surgery Branch of the National Cancer Institute, Bethesda, Md. Five of these patients returned for evaluation of disease status, evaluation of functional defects as determined by muscle group testing, and assessment of daily living skills and limitations. We demonstrated excellent shoulder function with partial scapulectomy and significant impairment with the additional loss of the glenoid fossa. In addition, we developed a thorough method of postoperative evaluation. Involvement of rehabilitation therapists before and after operatively is integral to this process in preparation for surgery and subsequent treatment.

(Arch Surg. 1990;125:537-542)