Reconstruction of the proximal humerus with the clavicle after tumor resection

A case report

Toshihumi Ozaki, H. Hashizume, Toshiyuki Kunisada, A. Kawai, Keiichiro Nishida, S. Sugihara, H. Inoue

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Reconstruction of the proximal humerus after resection for tumor and modification of the clavicular transposition procedure is described in which the blood supply of the clavicle is preserved and the clavicle is used to bridge the defect. An 11-year-old boy presented with shoulder pain, and the diagnosis was osteosarcoma of the right proximal humerus. After resection of the sarcomatous proximal humerus, the clavicle was released with its periosteum remaining intact, and the clavicle was rotated downward around the acromioclavicular joint. A vascularized fibula supplemented the reconstruction in trying to gain length of the arm. The acromioclavicular joint and the vascular supply of the clavicle were preserved. Internal fixation from the clavicle and the fibula to the distal humerus was made with an AO plate and screws. Muscles around the proximal humerus were reattached to the clavicle. Range of motion of the shoulder was 80° flexion, 85° abduction, 30° external rotation, and 90° internal rotation. Although the postoperative followup is relatively short, only 2 years, the functional advantages of this operation over other forms of reconstruction can be observed.

Original languageEnglish
Pages (from-to)170-175
Number of pages6
JournalClinical Orthopaedics and Related Research
Issue number385
Publication statusPublished - 2001

Fingerprint

Clavicle
Humerus
Neoplasms
Acromioclavicular Joint
Fibula
Periosteum
Shoulder Pain
Osteosarcoma
Articular Range of Motion
Blood Vessels
Arm
Muscles

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Reconstruction of the proximal humerus with the clavicle after tumor resection : A case report. / Ozaki, Toshihumi; Hashizume, H.; Kunisada, Toshiyuki; Kawai, A.; Nishida, Keiichiro; Sugihara, S.; Inoue, H.

In: Clinical Orthopaedics and Related Research, No. 385, 2001, p. 170-175.

Research output: Contribution to journalArticle

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