Treatment of Scapular Chondrosarcoma with a 3D-Printed Implant and Reverse Total Shoulder Arthroplasty: Case Report

Keywords: Bone tumor, sarcoma, chondrosarcoma, glenoid tumor, scapular tumor, biopsy, surgical approach, reconstruction

Abstract

Chondrosarcomas are malignant, cartilage-producing tumors most commonly arising in the pelvis, femur, and humerus; involvement of the scapula is rare. Surgery is the primary treatment for nonmetastatic disease. Compared with pelvic chondrosarcoma, scapular lesions generally have a better prognosis because the regional anatomy allows wide local resection with negative margins.We report a case of glenoid chondrosarcoma in a 47-year-old man treated with tumor resection and reconstruction using a 3D-printed implant combined with reverse total shoulder arthroplasty. The rationale for presenting this case is its low incidence. The proposed surgical approach—including deltoid detachment—provided adequate exposure while protecting neurovascular structures. Reconstruction of the osseous defect with a 3D-printed implant and reverse shoulder arthroplasty facilitated recovery of shoulder motion and yielded good functional outcomes.

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Author Biographies

Antonio Nahuel Acosta, Oncologic Reconstructive Surgery Center, Clínica Santa Isabel, Autonomous City of Buenos Aires, Argentina
Oncologic Reconstructive Surgery Center, Clínica Santa Isabel, Autonomous City of Buenos Aires, Argentina
Rufino C. Ruiz, Oncologic Reconstructive Surgery Center, , Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Oncologic Reconstructive Surgery Center, , Instituto Dupuytren de Traumatología y Ortopedia, Autonomous City of Buenos Aires, Argentina
Renzo Chiaramonte, Oncologic Reconstructive Surgery Center, Sanatorio de La Trinidad Palermo, Autonomous City of Buenos Aires, Argentina
Oncologic Reconstructive Surgery Center, Sanatorio de La Trinidad Palermo, Autonomous City of Buenos Aires, Argentina
Nicolás di Giuseppe, Oncologic Reconstructive Surgery Center, Sanatorio de La Trinidad Palermo, Autonomous City of Buenos Aires, Argentina
Oncologic Reconstructive Surgery Center, Sanatorio de La Trinidad Palermo, Autonomous City of Buenos Aires, Argentina
Gabriel Alazraqui, Oncologic Reconstructive Surgery Center, Sanatorio de La Trinidad Palermo, Autonomous City of Buenos Aires, Argentina
Oncologic Reconstructive Surgery Center, Sanatorio de La Trinidad Palermo, Autonomous City of Buenos Aires, Argentina
Alejo López, Oncologic Reconstructive Surgery Center, Galeno-Centro Médico Barrio Norte, Autonomous City of Buenos Aires, Argentina
Oncologic Reconstructive Surgery Center, Galeno-Centro Médico Barrio Norte, Autonomous City of Buenos Aires, Argentina

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Published
2025-08-29
How to Cite
Acosta, A. N., Ruiz, R. C., Chiaramonte, R., di Giuseppe, N., Alazraqui, G., & López, A. (2025). Treatment of Scapular Chondrosarcoma with a 3D-Printed Implant and Reverse Total Shoulder Arthroplasty: Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 90(4), 353-360. https://doi.org/10.15417/issn.1852-7434.2025.90.4.1987
Section
Case Presentations