scapulectomy
Pronunciation: skap-yuh-LEK-tuh-mee
Surgical removal of all or part of the scapula, typically performed for bone tumors affecting the shoulder girdle.
Full Definition
Scapulectomy is a major oncological procedure involving partial or complete removal of the scapula for treatment of primary bone tumors or metastatic disease. This procedure may range from partial scapulectomy (removing only the affected portion) to total scapulectomy (complete removal of the entire scapula and associated musculature). The extent of resection depends on tumor size, location, and the ability to achieve adequate oncological margins. Following scapulectomy, patients experience significant functional limitations in shoulder motion and strength, though some function can be preserved if the humeral head and glenoid articulation remain intact. Reconstruction options are limited, and functional rehabilitation focuses on compensatory mechanisms using remaining muscle groups.
Usage
Usage note: Distinguish from 'scapular resection' which may be more descriptive in some contexts.
In Context
- "Total scapulectomy was required due to extensive tumor involvement of the scapular body and processes." — Operative report
- "Partial scapulectomy preserved the glenoid, allowing for better postoperative shoulder function." — Surgical outcome study