Recurrent Intrathoracic Locking of the Scapula after Lung Cancer Resection and Combined Rib Resection.

Case Rep Orthop 2017 1;2017:8486739. Epub 2017 Mar 1.

Department of Orthopaedic Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0438, Japan.

We report a case of recurrent locking of the scapula in the thorax after combined lobectomy and thoracic wall resection for advanced lung cancer. The patient was a 52-year-old man with advanced spindle cell carcinoma in his right lung. He had undergone right lung lobectomy and thoracic wall excision (Th1-5). Intrathoracic repair had not been performed to address the defect in the thoracic wall. Two months after the operation he experienced sudden acute pain in the right shoulder. Three-dimensional computed tomography revealed locking of the scapula intrathoracically. The diagnosis was recurrent locking of the scapula in the thorax. He underwent conservative treatment. Because his symptoms were not alleviated and he continued to experience recurrent locking, we performed partial resection of the inferior part of the scapula. Although scapular locking diminished after this procedure, there were still some pain and "catching" between the scapula and the thoracic wall (T6) when he undertook certain movements. No further surgery could be performed, however, because the cancer from the primary lesion had recurred near the previously operated thoracic wall. A procedure for recurrent intrathoracic locking of the scapula was not successful in this case.

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/8486739DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5350483PMC
March 2017
1 Read

Publication Analysis

Top Keywords

locking scapula
20
thoracic wall
20
recurrent locking
12
lung cancer
8
lobectomy thoracic
8
scapula thorax
8
recurrent intrathoracic
8
intrathoracic locking
8
scapula
7
locking
7
recurrent
5
wall
5
thoracic
5
thorax underwent
4
diagnosis recurrent
4
underwent conservative
4
treatment symptoms
4
continued experience
4
experience recurrent
4
alleviated continued
4

References

(Supplied by CrossRef)

Canadian Association of Radiologists Journal 1994

Similar Publications