Limb-Sparing Resection of the Scapula and Reconstruction with a Constrained Total Scapula Prosthesis: A Case of Multicentric Epithelioid Hemangioendothelioma Involving the Scapula and Surrounding Soft Tissues

Introduction The scapula is a relatively uncommon site for primary bone sarcomas. Tumors arising from the scapula are often initially contained by the rotator cuff muscles that protect pertinent adjacent muscles as well as the brachial plexus and axillary blood vessels. Limb-sparing resection of a scapula sarcoma is technically complex and requires meticulous dissection and mobilization of the brachial plexus and axillary blood vessels. Several muscles must be capable of being preserved in order to reconstruct the scapula and shoulder girdle with a special customized total scapula replacement. The goal of reconstruction is to restore a stable shoulder girdle to preserve elbow and hand function.