Table 1. Patient’s characteristics and functional outcomes.
All | Total scapulectomy | ||
N | 48 | 26 | |
Gender | Male | 32 (66.7%) | 15 (57.7%) |
Female | 16 (33.3%) | 11 (42.3%) | |
Age | 46±18.7 | 44.6±19.4 | |
Type of resection | Total scapulectomy | 26 (54.2%) | 26 (100.0%) |
Acromion preserved | 7 (14.6%) | ||
Glenoid preserved | 3 (6.3%) | ||
Both of acromion and glenoid preserved | 10 (20.8%) | ||
Resection of lower half | 2 (4.2%) | ||
Length of resected humerus (cm) | 2.25±3.15 | 3.58±3.66 | |
Number of resected muscles | 5±2.2 | 6±1.9 | |
Resected nerve | Axillary | 12 (25.0%) | 10 (38.5%) |
Reconstruction | No | 25 (52.1%) | 8 (30.8%) |
Humeral suspension | 21 (43.8%) | 16 (61.5%) | |
Others | 2 (4.2%) | 2 (7.7%) | |
Material for humeral suspension | Artificial ligament | 8 (16.7%) | 5 (19.2%) |
Autologous ligament | 5 (10.4%) | 4 (15.4%) | |
Unknown | 8 (16.7%) | 7 (26.9%) | |
Blood loss (g) | 764.1±1113.4 | 1034.8±1515.1 | |
Surgical duration (min) | 262.5±124.1 | 277.3±97.4 | |
Follow-up term (mons) | 58.8±46.6 | 69.5±53.1 | |
Upper displacement of humerus (cm) | −0.17±1.23 | −0.63±1.46 | |
Enneking functional score | Pain | 4.6±0.7 | 4.4±0.8 |
Function | 2.8±1.1 | 2.3±1.1 | |
Emotional acceptance | 3.7±1.2 | 3.4±1.2 | |
Hand positioning | 2.9±1.4 | 2.4±1.4 | |
Dexterity | 4.5±1 | 4.3±1.2 | |
Lifting ability | 2.9±1.2 | 2.6±0.9 | |
Total | 21.1±4.5 | 19±3.7 | |
Range of motion | Flexion | 42.7±47.2 | 19.6±25.9 |
Abduction | 39.7±44.3 | 17.6±19.6 | |
Internal rotation | 49.6±34.6 | 46.5±35.5 | |
External rotation | 16.8±30.4 | 1.8±20.4 |
This retrospective study comprised 48 patients who underwent total or subtotal scapulectomy (more than half of the scapula was resected) and followed for at least one year after surgery. Patients were registered at the Japanese Musculoskeletal Oncology Group affiliated hospitals. Using the Enneking functional score, function and hand position, which reflect shoulder ability, had low scores, but pain and dexterity, which reflect usefulness of the hand joints, had satisfactory scores. The mean total score was 21.1 out of 30 (12–30), which overall is a satisfactory score following resection of the shoulder girdle. Data are expressed as mean±SD.