Is clavicular reconstruction imperative for total and subtotal claviculectomy? A systematic review

Yu, Chuan; Yu, Xiuchun; Huang, Weimin; Wang, Bing

doi:10.1016/j.jse.2017.11.003

Cited by 18 publications

(20 citation statements)

References 27 publications

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“…However, Chen et al in 2017 in their study suggested no better outcome with clavicular reconstruction than isolated total claviculectomy. 10 Wood in his study of five cases also proposed that removal of total clavicle result in good function of shoulder. But if trapezius muscle is paralysed, removal of clavicle is hazardous.…”

Section: Discussionmentioning

confidence: 95%

Subtotal Claviculectomy for aneurysmal bone cyst of clavicle: A case report and review of literature

Kumar¹,

Chawla²,

Kumar³

2020

IJOS

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Aneurysmal bone cysts are benign, locally aggressive osteolytic neoplasms that usually affect individuals in their second decade. Majority of aneurysmal bone cysts occur in metaphysis of long bones and vertebra. Clavicle is an uncommon location and only few cases have been reported in literature. We present a case of 17 year old male who presented with gradually progressive painful swelling in left shoulder region. Xray and CT scan showed expansile osteolytic swelling. Excision of the lesion with subtotal claviculectomy was done. On follow up, patient was able to perform his daily activities without any restriction and no recurrence was noted on ten year follow up.

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Section: Discussionmentioning

confidence: 95%

Subtotal Claviculectomy for aneurysmal bone cyst of clavicle: A case report and review of literature

Kumar¹,

Chawla²,

Kumar³

2020

IJOS

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“…There are differing opinions regarding the need to reconstruct the clavicle after excision. 1 While several reports have described no abnormality in shoulder function after clavicle excision, shoulder dysfunction, dyskinesis of the scapula, and damage to the shoulder joint have been reported. 1,18 Though reconstruction using allogeneic and autologous bone, bone cement, and a plate-cement complex has been done to mitigate post-clavicle excision complications, they in turn have resulted in increased chances of infection, prosthesis loosening, persistent pain, and symptomatic nonunion.…”

Section: Discussionmentioning

confidence: 99%

“…Limited case reports or case series are currently available that provide information on these tumors. 1,2 The majority of primary clavicle tumors are malignant 3,4 and surgical treatment entails partial or total clavicle excision based on the disease extent. 5 Approximately 1.4% of all cases of Ewing's sarcoma occur in the clavicle.…”

Section: Introductionmentioning

confidence: 99%

Functional and Oncological Outcomes of Multidisciplinary Management of Ewing’s Sarcoma of Clavicle: A Single-Center Experience

Gulia

Puri

Gupta

et al. 2021

South Asian J Cancer

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Objectives Ewing’s sarcoma is best treated using a multidisciplinary approach. We discuss the functional and oncological outcomes of clavicular Ewing’s sarcoma which has been sparsely reported in literature. Materials and Methods We retrospectively evaluated patients who underwent resections for Ewing’s sarcoma of clavicle from January 2002 to December 2017. The study end points were locoregional recurrence free survival (LRFS), disease-free survival (DFS), and overall survival (OS) at 3 and 5 years, and functional outcomes measured by Musculoskeletal Tumor Society (MSTS) scores. Statistical Analysis The LRFS, DFS, and OS were calculated and analyzed using the Kaplan–Meier method and log-rank test. Results Data of 21 patients (male: 12, female: 9) was analyzed with a mean age [range] of 15.3 [6–40] years. Total clavicle excision was done in 62% (13 of 21) while 38% (n = 8) had partial resections. Radiotherapy was administered in 15 patients (71.5%). At a median follow-up of 42 months (range: 7–198), data of 20 patients was available for follow-up. Ten patients died (due to disease: nine, other reasons: One), eight are disease free and alive, one had metastasectomy on recurrence and is disease free and, one patient is alive with disease and on palliative chemotherapy. The LRFS, DFS, and OS were 95, 59, 65% and 95, 47, 59% at 3 and 5 years, respectively. The functional evaluation done for nine patients who are free of disease showed a mean MSTS score of 29 (range: 27–30; total clavicle excision: 28.5, partial clavicle excision: 29.5). Conclusion Patients with Ewing’s sarcoma of the clavicle who underwent resection without reconstruction have acceptable local control rates and excellent functional outcomes.

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“…Especially for the patient in our case, hoping for operative resection due to the large mass effect, the risk-benefit of biopsy must be considered. Claviculectomy for clavicular tumor can be inferior functionally due to many issues such as loss of the role as a supporter, muscle weakness, cosmetic problems, and restriction of joint motion as well as loss of the protector effect for important vessels and nerves located in the back of the clavicle [7]. Performing reconstruction using allograft after resecting the clavicle can lead to many complications from the bone graft material.…”

Section: Discussionmentioning

confidence: 99%

Allograft reconstruction for large parosteal osteoma of the clavicle: a case report

Shin

Kim

Park

2021

Clin Shoulder Elbow

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Is clavicular reconstruction imperative for total and subtotal claviculectomy? A systematic review

Cited by 18 publications

References 27 publications

Subtotal Claviculectomy for aneurysmal bone cyst of clavicle: A case report and review of literature

Subtotal Claviculectomy for aneurysmal bone cyst of clavicle: A case report and review of literature

Functional and Oncological Outcomes of Multidisciplinary Management of Ewing’s Sarcoma of Clavicle: A Single-Center Experience

Allograft reconstruction for large parosteal osteoma of the clavicle: a case report

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