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At least 235 records · Page 13Linked to original sources
PubMed2002

Epithelioid sarcoma mimicking a primary osseous multifocal scapula lesion.

This report describes a case of bone involvement by epithelioid sarcoma, which on imaging had the appearance of a primary intraosseous lesion of the scapula. The tumor initially presented as a subcutaneous nodule which was mistakenly diagnosed as "fibrosis" following initial resection. The lesion recurred locally and after several resections presented with several ulcerated subcutaneous nodules, at which time all imaging studies were performed. The patient was treated with en bloc upper humeral interscapulothoracic resection and shoulder reconstruction. Two years after the operation the patient is alive without local recurrence or metastasis.

Adult↗
PubMed2003

Duplication of the scapula.

Only three cases of scapular duplication have been described in English in the literature. We report a case of a child with duplication of the right scapula, operated on at our center with good results.

Abnormalities, Multiple↗
PubMed2005

Partial duplication of the scapula.

We report an extremely rare case of partial scapular duplication. Mild shoulder area deformity in a newborn prompted further evaluation that included radiography, ultrasonography and spiral CT. These revealed an additional bone in the area of the left shoulder, above the humerus and lateral to the scapula. The accessory bone articulated with the upper part of the glenoid and caused caudal displacement of the humeral head. However, it did not restrict the normal range of motion in the shoulder joint.

Diagnosis, Differential↗
PubMed1996

Post-radiation osteosarcoma of the scapula.

Osteosarcomas arising in irradiated tissues are uncommon but important complications of radiotherapy. Radiation-induced osteosarcomas generally occur 3-30 years after exposure and are most common after radiotherapy for cervical or breast carcinoma. These tumors are usually rapidly growing, extremely painful, and histologically high grade. In this paper, we report two cases of high-grade post-radiation osteosarcoma of the scapula. Despite being almost identical radiologically and pathologically, one case had a typical clinical presentation whereas the second case had two unusual features, being non-painful and arising in a field initially irradiated for bronchogenic carcinoma.

Aged↗
PubMed1997

Fracture of the superior border of the scapula.

Twenty-four patients who sustained a fracture of the superior border of the scapula are reviewed. All were associated with a fracture of the coracoid process and other shoulder injuries. There were 19 long fracture lines and 5 short. The former and 3 of the latter were extensions of a coracoid fracture; in 2, there appeared to be an avulsion fracture by traction through the superior transverse scapular ligament resulting from the upward displacement of the coracoid.

Adolescent↗
PubMed1981

Fracture of the coracoid process of the scapula.

Four cases of fracture of the coracoid process of the scapula are reported. Different mechanisms of injury resulted in different types of fracture. In the first case the injury resulted from a direct fall on te involved shoulder and the fracture was through the base of the coracoid. In the second case the fall was on the elbow and the fracture was of the avulsion type, at the tip of the coracoid and indirect in type. In the third case the fractured coracoid process was associated with fracture of the acromion and in the fourth case it was associated with a fracture of the clavicle, both combinations not previously reported. The importance of recently developed radiographic techniques is stressed. Conservative treatment appears to be suitable in most of the acute cases.

Adolescent↗
PubMed1993

Fractures of the scapula associated with traumatic paralysis: a pathomechanical indicator.

In this study, 25 cases of fracture of the scapula associated with traumatic paralysis were reviewed. The vast majority of the patients were young males, victims of high-speed traffic accidents. Of the vertebral injuries in this population, 76 per cent occurred in the thoracic region, 20 per cent in the lower cervical region and only one in the lumbar region. Complete paralysis was documented in 84 per cent of the patients. The characteristics of spinal column failure are determined by the anatomical configuration and the direction and energy of the impact. Important information about the latter can be extrapolated from careful analysis of the associated fractures.

Accidents, Traffic↗
PubMed1996

Modelling the muscles of the scapula morphometric and coordinate data and functional implications.

Modelling of the shoulder mechanism is dependent upon reliable data on the morphometry and points of attachment of the relevant muscles. In this paper, the authors present coordinate data which have been derived from the radiography of dissected cadavers. All of the coordinates have been normalised with respect to reference dimensions of the relevant segments (humerus, scapula, clavicle and trunk). Similarly the measurements of physiological cross-section area (PCSA) have been normalised with respect to that of deltoid. The measurements of PCSA have been shown to agree largely with the work of Veeger et al. [J. Biomechanics 24, 615-629 (1991)] and Karlsson and Peterson [J. Biomechanics 25, 189-199 (1992)]. While the majority of the descriptions of morphometry concur with accepted texts there are some notable disagreements, particularly concerning trapezius.

Anatomy, Cross-Sectional↗
PubMed1984

Liposarcoma involving the scapula.

An unusual case of a soft tissue liposarcoma arising in the upper limb was studied by computed tomography. Computed tomography suggested the diagnosis of myxoid liposarcoma using the criteria of textural inhomogeneity and bony erosion and scalloping of the scapula.

Aged↗
PubMedDate not supplied

CT diagnosis of fracture of the coracoid process of the scapula.

A case of fracture of the coracoid process of the scapula is presented in which the findings were not apparent on plain films. CT demonstrated the fracture, and the absence of soft tissue mass suggested a remote traumatic etiology rather than metastatic disease. The findings were confirmed surgically and pathologically.

Aged↗
PubMed1990

Scapular dislocation (locked scapula).

We report the case of a 19-year-old woman who presented to the emergency department with pain and inability to move her right shoulder after falling backwards and striking it on a cart. Radiographs of the shoulder revealed a dislocated scapula. Closed reduction in the ED was successful. This rare case of scapular dislocation serves to emphasize that a heightened awareness for this injury is necessary if it is to be recognized and treated appropriately. Its treatment and prognosis are reviewed.

Adult↗
PubMed2005

[Telangiectatic osteosarcoma of the scapula: a case report].

Telangiectatic osteosarcoma is a rare entity and rarely involves flat bones. The authors report the case of a 4 year old child, with a four month history of progressive left shoulder swelling. Radiographs and CT of the left shoulder revealed a large lytic lesion with cystic areas of the scapula, simulating the appearance of an aneurysmal bone cyst. Surgical biopsy was performed and showed telangiectatic osteosarcoma.

Bone Neoplasms↗
PubMed1979

Subclavian artery injury and fracture of the scapula.

A fracture of the scapula is frequently associated with other significant injuries. In the case described, a motorcycle accident victim sustained multiple injuries, including a scapular fracture associated with a tear of the subclavian artery, demonstrated by angiography and confirmed at operation. A literature review revealed no similar case.

Adult↗
PubMedDate not supplied

Pectoralis major transfer for winging of the scapula.

From November 1988 to July 1992 eight patients with painful, chronic, disabling winging of the scapula caused by isolated serratus anterior paralysis had pectoralis major muscle transfer extended by a fascia lata graft. Six men and two women were treated. Duration of symptoms ranged from 12 to 35 months. Seven patients had a positive result on electromyography. In addition, four patients had multidirectional instability of the shoulder on the side of the winging. The postoperative follow-up period ranged from 12 to 57 months (average 27.1 months). Excellent results were obtained in all patients. In addition, patients with associated multidirectional instability improved, and only one subsequently required additional shoulder surgery. The described method of coiling and suturing the donor graft is believed to account for the consistent results and absence of substantial complications. Pectoralis major muscle transfer extended by a fascia lata graft appears to be an excellent operation for correcting scapular winging.

Adolescent↗
PubMedDate not supplied

Anthropometry of the scapula: clinical and surgical considerations.

Anthropometric measurements were taken on 266 scapulas from the "G. Marro" Egyptian skeletal collection of the Department of Anthropology of the University of Turin in Italy to study the orthopaedic pathologic condition of the shoulder joints. Data were taken on the size and shape of the acromial arch in relation to the inclination and anatomic variants of the acromion. The rarity of the "hooked" form was confirmed, and two variants of the acromial vault (i.e., one predominantly osseous and the other predominantly fibrous) were recognized. The spatial location and biomechanical importance of the coracoid process were considered. Orientation of the glenoid fossa furnishes an osseous base for the stability of the scapulohumeral joint both anteroposteriorly and vertically. Observations on current practices of surgical intervention on the shoulder as reported in the literature and some anatomic skeletal basis of surgical access are discussed.

Acromion↗
PubMed1985

The levator scapulae muscle flap. A new use.

The design and use of the levator scapulae flap is reviewed. Particular attention is paid to the blood flow. A description is given of how this flap may be employed to repair smaller defects of the mouth and pharynx. It is used in association with split skin. The use of such a technique is compared to musculo-cutaneous flaps, with particular reference to the skin blood flow.

Female↗