Overview of Resections around the Shoulder Girdle: Anatomy, Surgical Considerations and Classification
The Tikhoff-Linberg procedure and its modifications are limb-sparing surgical options for selected patients with bone and soft-tissue tumors in and around the shoulder girdle. Today, approximately 95% of patients with tumors of the shoulder girdle can be treated by a limb-sparing procedure. Forequarter amputations are rarely performed, except in cases of tumors that are infected or fungating, tumors that invade the adjacent neurovascular bundle or chest wall, and failed attempts at limb-sparing resections.Function of the forearm, wrist, and hand should be nearly normal following a limb-sparing shoulder girdle resection. A stable shoulder and elbow flexion and extension are achieved without the need for an orthosis.
This chapter describes in detail the specific tumor site and its influence on the surgical management, indications and contraindications of resection, surgical staging and classification, endoprosthetic reconstruction and design features, functional considerations, and rehabilitation. Specific techniques of resection and reconstruction of the proximal humerus and scapula are presented in Chapters 33 and 34.
KeywordsRotator Cuff Brachial Plexus Proximal Humerus Glenohumeral Joint Shoulder Girdle
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