Treatment of Scapular Chondrosarcoma with a 3D-Printed Implant and Reverse Total Shoulder Arthroplasty: Case Report
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.Downloads
References
Tiwari R, Devnani B, Thirunavukkarasu B, Pareek P, Daga P, Kumar A. multi-modality management of
chondrosarcoma of scapula: A case report and review of literature. Cancer Treat Res Commun 2023;35:100710. https://doi.org/10.1016/j.ctarc.2023.100710
MacDonald IJ, Lin C-Y, Kuo S-J, Su C-M, Tang C-H. An update on current and future treatment options for
chondrosarcoma. Expert Rev Anticancer Ther 2019;19(9):773-86. https://doi.org/10.1080/14737140.2019.1659731
Gazendam A, Popovic S, Parasu N, Ghert M. Chondrosarcoma: A clinical review. J Clin Med 2023;12(7):2506. https://doi.org/10.3390/jcm12072506
Italiano A, Mir O, Cioff A, Palmerini E, Piperno-Neumann S, Perrin C, et al. Advanced condrosarcomas: role of chemotherapy and survival. Ann Oncol 2013;24:2916-22. https://doi.org/10.1093/annonc/mdt374
Ortiz Cruz EJ, Peleteiro Pensado M, Barrientos Ruiz I, Pozo Kreilinger JJ, Bernabéu Taboada D, Forriol F. Técnicas de la biopsia correcta en el aparato locomotor. Rev Latinoam Cir Ortop 2016;1(1):26-36. https://doi.org/10.1016/j.rslaot.2016.05.003
Mayil Vahanan N, Mohanlal P, Bose JC, Gangadharan R, Karthisunda V. The functional and oncological results after scapulectomy for scapular tumours: 2-16-year results. Int Orthop 2007;31(6):831-6.
https://doi.org/10.1007/s00264-006-0261-1
Kiatisevi P, Thanakit V, Sukunthanak B, Boonthatip M, Bumrungchart S, Witoonchart K. Computed tomographyguided core needle biopsy versus incisional biopsy in diagnosing musculoskeletal lesions. J Orthop Surg (Hong Kong) 2013;21(2):204-8. https://doi.org/10.1177/230949901302100218
Shuai Qiang, Xin-Nan Ma, Hong-Wei Wang, Song-Cen Lv. Scapula chondrosarcoma. A case report. Medicine (Baltimore) 2019;98(17):e15388. https://doi.org/10.1097/MD.0000000000015388
Sánchez-Torres LJ, Santos-Hernández M. [Tikhoff-Linberg procedure]. Acta Ortop Mex 2009;23(1):35-7. [En español] PMID: 19462772
Trikoupis IG, Mavrodontis II, Papadopoulos DV, Goumenos SD, Georgoulis DA, Gavriil P. 3D‑printed glenoid implant reconstruction, after partial scapulectomy for malignant tumors: a case series. Eur J Orthop Surg Traumatol 2024;34(3):1557-62. https://doi.org/10.1007/s00590-024-03839-4
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