Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis

Background: Intraosseous hemangiomas occurring the clavicle is uncommon. Reconstruction of the clavicle is suggested to maintain the normal shoulder joint function and prevent adverse outcomes. Complex anatomy shape of the clavicle remains a great challenge for prosthetic reconstruction of the clavi...

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Main Authors: Zhuangzhuang Li, Chang Zou, Minxun Lu, Yuqi Zhang, Taojun Gong, Jie Wang, Yi Luo, Yong Zhou, Li Min, Chongqi Tu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2022.1085674/full
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author Zhuangzhuang Li
Zhuangzhuang Li
Chang Zou
Minxun Lu
Minxun Lu
Yuqi Zhang
Yuqi Zhang
Taojun Gong
Taojun Gong
Jie Wang
Jie Wang
Yi Luo
Yi Luo
Yong Zhou
Yong Zhou
Li Min
Li Min
Chongqi Tu
Chongqi Tu
author_facet Zhuangzhuang Li
Zhuangzhuang Li
Chang Zou
Minxun Lu
Minxun Lu
Yuqi Zhang
Yuqi Zhang
Taojun Gong
Taojun Gong
Jie Wang
Jie Wang
Yi Luo
Yi Luo
Yong Zhou
Yong Zhou
Li Min
Li Min
Chongqi Tu
Chongqi Tu
author_sort Zhuangzhuang Li
collection DOAJ
description Background: Intraosseous hemangiomas occurring the clavicle is uncommon. Reconstruction of the clavicle is suggested to maintain the normal shoulder joint function and prevent adverse outcomes. Complex anatomy shape of the clavicle remains a great challenge for prosthetic reconstruction of the clavicle.Case presentation: A 37-year-old female with no conclusive history of trauma presented with progressive mass at the right lateral clavicle for 5 years. The patient was treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis. Postoperatively radiographic examinations revealed a good position of the prosthesis, neither breakage nor loosening was detected. The right shoulder mobility returned to approximate level of preoperative shoulder 2 months after surgical reconstruction, with the range of motion of flexion 80°, extension 40°, abduction 80°, adduction 30°, external rotation 55°, and internal rotation 60°. The patient maintained the normal shoulder function during the 48 months follow-up period. There was no pain during shoulder motion. The Musculoskeletal Tumor Society Score (MSTS) score was 29 and the Functional Evaluation Form recommended by the American Shoulder and Elbow Surgeons (ASES) score was 95.Conclusion: 3D-printed personalized prosthesis is a good option to reconstruct the lateral clavicle bone defect and restore the shoulder support structure. It maintains the normal shoulder joint function and avoids adverse effects on daily activities after claviculectomy.
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spelling doaj.art-444c5b360db9495e8df64793b5dbb8f12023-01-09T09:28:43ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852023-01-011010.3389/fbioe.2022.10856741085674Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesisZhuangzhuang Li0Zhuangzhuang Li1Chang Zou2Minxun Lu3Minxun Lu4Yuqi Zhang5Yuqi Zhang6Taojun Gong7Taojun Gong8Jie Wang9Jie Wang10Yi Luo11Yi Luo12Yong Zhou13Yong Zhou14Li Min15Li Min16Chongqi Tu17Chongqi Tu18Department of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaDepartment of Orthopedics, Orthopaedic Research Institute, West China Hospital, Sichuan University, Chengdu, ChinaModel Worker and Craftsman Talent Innovation Workshop of Sichuan province, Chengdu, Sichuan, ChinaBackground: Intraosseous hemangiomas occurring the clavicle is uncommon. Reconstruction of the clavicle is suggested to maintain the normal shoulder joint function and prevent adverse outcomes. Complex anatomy shape of the clavicle remains a great challenge for prosthetic reconstruction of the clavicle.Case presentation: A 37-year-old female with no conclusive history of trauma presented with progressive mass at the right lateral clavicle for 5 years. The patient was treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis. Postoperatively radiographic examinations revealed a good position of the prosthesis, neither breakage nor loosening was detected. The right shoulder mobility returned to approximate level of preoperative shoulder 2 months after surgical reconstruction, with the range of motion of flexion 80°, extension 40°, abduction 80°, adduction 30°, external rotation 55°, and internal rotation 60°. The patient maintained the normal shoulder function during the 48 months follow-up period. There was no pain during shoulder motion. The Musculoskeletal Tumor Society Score (MSTS) score was 29 and the Functional Evaluation Form recommended by the American Shoulder and Elbow Surgeons (ASES) score was 95.Conclusion: 3D-printed personalized prosthesis is a good option to reconstruct the lateral clavicle bone defect and restore the shoulder support structure. It maintains the normal shoulder joint function and avoids adverse effects on daily activities after claviculectomy.https://www.frontiersin.org/articles/10.3389/fbioe.2022.1085674/full3D-printed prosthesisclavicletumor resectionintraosseous hemangiomabone defect
spellingShingle Zhuangzhuang Li
Zhuangzhuang Li
Chang Zou
Minxun Lu
Minxun Lu
Yuqi Zhang
Yuqi Zhang
Taojun Gong
Taojun Gong
Jie Wang
Jie Wang
Yi Luo
Yi Luo
Yong Zhou
Yong Zhou
Li Min
Li Min
Chongqi Tu
Chongqi Tu
Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis
Frontiers in Bioengineering and Biotechnology
3D-printed prosthesis
clavicle
tumor resection
intraosseous hemangioma
bone defect
title Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis
title_full Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis
title_fullStr Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis
title_full_unstemmed Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis
title_short Case report: Intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three-dimensional-printed personalized prosthesis
title_sort case report intraosseous hemangioma of the lateral clavicle treated by surgical resection and reconstructed by three dimensional printed personalized prosthesis
topic 3D-printed prosthesis
clavicle
tumor resection
intraosseous hemangioma
bone defect
url https://www.frontiersin.org/articles/10.3389/fbioe.2022.1085674/full
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