Akademik Veri Yönetim Sistemi
14th Asia Pacific Musculoskeletal Tumor Society Meeting, Taipei, Tayvan, 04 Ekim 2023, ss.367, (Özet Bildiri)
Objectives:
We aimed to contribute literature about long-term outcomes of elastofibroma dorsi by examining clinical features,
imaging data, demographic data, and preop/postop functional scores of our series of 12 patients. We especially,
focused on the ipsilateral shoulder’s x-ray in order to find a correlation between ED existence and radiographic
changes in the shoulder, if any.
Methods:
We evaluated 12 patients retrospectively that are operated in our clinic Istanbul University, İstanbul Medicine
Faculty, Orthopaedics and Traumatology Department between 2010-2021. 2 patients were excluded because of a
lack of follow-up data. Their imaging data were collected from Extreme PACS (Ankara, Turkey). Shoulder x-ray’s are
examined for omarthrosis by using Kellgreen-Lawrence and Hamada Classification for primary osteoarthritis and
cuff-tear arthropathy. Their demographic data, clinical features, and preop functional scores are collected from our
archive. Lastly, they are invited to an appointment for actual functional scores.
Results
There were 10 patients in total (7 females and 3 males) with a mean age of 60.1 years (range 53-68 years). The mean
follow-up was 75,6 months (range 19-131 months). The tumor side was right in 4 (40%) patients and left in 5 (50%)
patients and tumor was diagnosed bilaterally in 1 patient (10%). Six patients had a painful mass that causes
restriction of ROM of the shoulder whereas 2 reported only a painful scapular mass without any restriction. 2
patients were asymptomatic except for a painless mass. All 10 patients underwent complete resections.
Preoperative shoulder x-rays showed no significant omarthrosis sign in any patient. The seroma formed in 4 patients
(40%) postoperatively. There was newly diagnosed ED in 2 patients (20%) on the contralateral side during follow-up.
The preoperatively mean Constant score was 68,1(range 57-85) and improved to 85,3 (range 69-95) postoperatively.
Preoperatively mean quick-DASH score was 32,7 (range 13-54,5) and improved to 15,6 (range 4-31,8)
postoperatively. Preoperatively mean VAS score was 5,1(range 0-10) and improved to 1,7(range 0-5)
postoperatively.
Conclusions:
Although scapulothoracic dyskinesia is considered the main etiologic factor of ED; omarthrosis which is one of the
reasons of scapulothoracic dyskinesia is not found in this cohort.
Due to its painful characteristic, surgical excision is required in symptomatic patients.
The surgeon should be careful about seroma formation in the early postop period as well as the new occurrence of
ED on the contralateral side in the late postop period.