Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “SCAPULA”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 451 records · Page 25Linked to original sources
PubMed2002

Allograft reconstruction after resection of malignant tumors of the scapula.

The oncologic and functional outcomes of six patients who had scapular allograft reconstruction after scapulectomy for malignant tumors were reviewed. Five patients had Stage IIB and one patient had Stage IB tumors. Total scapulectomy was done in five patients, and partial scapulectomy (glenoid and neck) was done in one patient. Frozen glycerolized scapular allografts were implanted and fixed with plates and screws. The scapular muscles were reattached to the allograft. Tendon reconstruction to replace the excised muscles was done in two patients. The patients were followed up for an average of 3.8 years (range, 2-6 years). Cosmesis, elbow, and hand function were good in all patients. There were no infections, nonunions, or shoulder dislocations. One patient fractured the body of the allograft after a fall. One patient had local recurrence and had scapulectomy 5 years postoperatively. Two patients died 3 and 5 years postoperatively with lung metastases but with functioning grafts. The mean functional result using the Musculoskeletal Tumor Society functional score was 82 (range, 77-87). In this series, scapular allograft reconstruction restored cosmesis, shoulder stability, and function. Preservation or reconstruction of rotator cuff muscles is recommended.

Adult↗
PubMedDate not supplied

Hypoplasia of the glenoid neck of the scapula: imaging findings and report of 16 patients.

OBJECTIVE: Our purpose was to describe the primary and associated imaging findings in patients with glenoid hypoplasia required for an accurate diagnostic appraisal of this uncommon abnormality. METHODS: The medical records and imaging studies of 16 patients with glenoid hypoplasia were retrospectively reviewed. Plain films were available in all patients, arthrography in 2, computed tomography (CT) in 5, CT arthrotomography in 3, magnetic resonance (MR) imaging in 9, and MR arthrography in 3 patients. The imaging studies were reviewed with special attention to the primary and secondary findings associated with glenoid hypoplasia. RESULTS: On radiographs, the 21 abnormal shoulders documented in the 16 patients with glenoid hypoplasia had an irregular (n=15) or shallow and smooth (n=6) articular surface of the glenoid. Computed tomography findings showed subluxation of the humeral head in 5 cases. On MR images, the hypoplastic bony glenoid and scapular neck were replaced by abnormal tissue of inhomogeneous signal intensity, showing the signal intensity characteristics of fibrocartilage (n=6) or fat (n=5). Widening of the inferior glenohumeral joint space was seen in all cases. Magnetic resonance imaging or MR arthrography revealed variable abnormalities of the labrum, including enlargement (10 shoulders), detachment of labrum from the bony glenoid (6 shoulders), intrasubstance tear (4 shoulders), and perilabral cyst (2 shoulders). The posterior labrum was absent (n=1) or torn (n=1) in one patient with bilateral deformity. Other findings included partial tear of the subscapularis tendon (n=1) and rotator cuff atrophy (n=1) and tear (n=2). CONCLUSION: Glenoid hypoplasia is a developmental skeletal anomaly comprising a spectrum of associated osseous and cartilaginous changes of the articular cartilage and glenoid labrum. Cross-sectional imaging studies, with or without arthrography, may help further characterize associated derangements of the shoulder, some of which are indicative of shoulder instability.

Adolescent↗