Function correlates with deltoid preservation in patients having scapular replacement Journal Article

  


Authors: Schwab, J. H.; Boland, P. J.; Athanasian, E. A.; Morris, C. D.; Healey, J. H.
Article Title: Function correlates with deltoid preservation in patients having scapular replacement
Abstract: Advocates of scapular replacement suggest sparing the deltoid should be a prerequisite for use of a scapular prosthesis. We evaluated the importance of a functioning deltoid in scapular replacement for malignant tumors. We retrospectively reviewed 19 patients who received scapular prostheses after resection of a malignant tumor. The median followup was 18 months (range, 12-124 months). The axillary nerve was resected in eight patients and spared in 11 patients. The average International Society of Limb Salvage score was 25 of 30 points (range, 21-27 points). The average scores for patients with and without axillary nerve resection were 24 points (range, 21-25 points) and 26 points (range, 23-27 points), respectively. There was a difference between the two groups in hand positioning, overall function, and pain. However, there were no differences in emotional acceptance, lifting ability, or hand dexterity. We favor using a scapular prosthesis if there is a functioning deltoid; however resection of the deltoid should not be considered an absolute contraindication for scapular replacement. © 2006 Lippincott Williams & Wilkins, Inc.
Keywords: adolescent; adult; clinical article; school child; aged; bone tumor; cancer surgery; joint prosthesis; follow up; pain; retrospective study; scoring system; hand; scapula; deltoid muscle
Journal Title: Clinical Orthopaedics and Related Research
Volume: 452
ISSN: 0009-921X
Publisher: Springer  
Date Published: 2006-11-01
Start Page: 225
End Page: 230
Language: English
DOI: 10.1097/01.blo.0000229323.37793.6d
PROVIDER: scopus
PUBMED: 16906074
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-33750615675&partnerID=40&md5=ffe4dde4667e90f91c514737915cf902
Notes: --- - "Cited By (since 1996): 4" - "Export Date: 4 June 2012" - "CODEN: CORTB" - "Source: Scopus"
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MSK Authors
  1. Joseph H Schwab
    13 Schwab
  2. Patrick J Boland
    160 Boland
  3. Edward A Athanasian
    75 Athanasian
  4. Carol Morris
    80 Morris
  5. John H Healey
    550 Healey
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