Outcome of surgical management of bony metastases to the humerus and shoulder girdle: a retrospective analysis of 93 patients

International Seminars in Surgical Oncology : ISSO
Duy M ThaiPeter F M Choong

Abstract

Metastatic disease to the shoulder girdle is a challenging problem because of the potential for pain, pathologic fracture and loss of function of that limb. Management of the bone disease centers around palliation, prevention of further complications and the preservation of residual function. A variety of surgical options exist for managing metastatic disease to the shoulder girdle and our experience with over 90 patients is reported. We focus on a preferred technique of combining rigid intramedullary nailing with cementation. Patients with metastatic disease to the shoulder girdle were accrued over a 9 year period from 1996 to 2004. 93 patients were identified with 96 operations being performed. The median age was 63 years (range 33 - 89) and 54% were female. The commonest primary tumor to metastasize was breast, and the proximal and midshaft humerus was involved in 84% of cases. The median survival time was 8 months and at last review 82% of patients had died of their disease Operations performed were intramedullary nailing (n = 51), resection with or without prosthetic reconstruction (n = 34) or plate osteosynthesis (n = 9). The site of the metastasis was a guide to the most appropriate operation. Amputations (n = 2) were no...Continue Reading

References

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Citations

Dec 3, 2008·Expert Opinion on Emerging Drugs·J C M ClarkPeter F M Choong
Nov 9, 2010·Orthopedics·Keiichi MuramatsuToshihiko Taguchi
Aug 2, 2018·The Journal of Vascular Access·Patrick PanHarry Trieu
Jun 23, 2010·Clinical Orthopaedics and Related Research·German A MarulandaG Douglas Letson
Jan 1, 2009·Revista Brasileira De Ortopedia·Luiz Eduardo Moreira TeixeiraMarco Antônio Percope de Andrade
Jul 20, 2011·The Journal of Bone and Joint Surgery. British Volume·K R WeissP C Ferguson
Dec 3, 2016·Clinics in Orthopedic Surgery·Eun-Seok ChoiHan-Soo Kim
Aug 27, 2010·Archives of Orthopaedic and Trauma Surgery·Minna LaitinenToni-Karri Pakarinen
Jan 26, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ryan T VoskuilThomas J Scharschmidt
Mar 9, 2021·Journal of Clinical Orthopaedics and Trauma·William T WilsonAshish Mahendra
Apr 13, 2021·Curēus·Marc-Antoine M RicardRobert Turcotte
Aug 10, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Aymeric de GeyerUNKNOWN SoFCOT
Aug 13, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Vincent CrennUNKNOWN members of the So.F.C.O.T.

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Methods Mentioned

BETA
Amputation
prophylactic surgery

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