Amir M Boubekri, Patrick Lawler, Andrew Chen, Daphne Li, Vikram C Prabhu, Nickolas G Garbis
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"Trapdoor" Medial Scapula Osteotomy for Resection of a Benign Subscapular Neoplasm: A Case Report.
Case: Neurofibromatosis type 2 (NF2) is an autosomal dominant condition characterized by the development of neoplasms, which infrequently arise in the subscapular fossa. Surgical removal of large subscapular tumors carries the risk of shoulder dysfunction due to muscle or nerve injury. We describe the case of a patient with NF2 who presented with a hybrid subscapular neurofibroma and schwannoma tumor that was completely resected through a muscle-sparing medial scapular osteotomy approach.
Conclusion: We describe a unique muscle-sparing scapula splitting surgical approach to the subscapular region that provides excellent exposure for tumor removal and clinical outcomes with minimal postoperative scapular dyskinesis.
期刊介绍：
JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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