Stress fracture of the clavicle after total scapulectomy and humeral suspension – Case report

Abstract

Background: Although Ewing sarcoma is one of the most common malignant bone tumours, its occurrence in the scapula is extremely rare. Case report: The authors present a case of a 23-yearold male with an Ewing sarcoma in the right scapula, managed through a limb-sparing procedure involving total scapulectomy (Malawer type III) and humeral head suspension to the clavicle. Two years post-surgery, the patient developed a clavicle stress fracture, an uncommon complication. Surgical repair with anatomic clavicle plating, and a pectoralis major pedicled flap for soft tissue coverage were performed. Discussion: Despite the occurrence of a rare complication, functional assessment and overall percepted impact on the patient were consistent with outcomes and scores reported in literature. Conclusion: This case reflects the authors experience with a challenging case, which ultimately resulted in an improved quality of life for the patient, enabling him to be well adapated in daily activities.

Keywords

• Scapular ewing sarcoma
• Scapular tumor
• Scapulectomy
• Humeral head suspension
• Clavicle stress fracture