Rehabilitation after Forequarter Amputation for Left Scapula Chondrosarcoma：A Case Report

Fujimoto Yudai, Tanaka Takaaki, Wakamatsu Toru, Ikeda Seiji, Kato Yuji, Naka Norifumi

doi:10.2490/jjrmc.19010

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Other Title

左肩甲骨軟骨肉腫に対する肩甲帯離断術後症例へのリハビリテーション治療の経験
症例報告左肩甲骨軟骨肉腫に対する肩甲帯離断術後症例へのリハビリテーション治療の経験
ショウレイホウコクヒダリケンコウコツナンコツニクシュニタイスルケンコウタイリダンジュツゴショウレイエノリハビリテーションチリョウノケイケン

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Abstract

<p>Forequarter amputation is a rare procedure, performed mainly for patients with malignant bone and soft tissue tumors. The present case involved a 59-year-old man with left scapula chondrosarcoma. Rehabilitation began on the second day after amputation for a left shoulder chondrosarcoma. We performed early mobilization, wound management, mirror therapy for phantom pain, strength training for the remaining muscles, and activities of daily living (ADL)/instrumental ADL (IADL) training for only the remaining upper limb. In addition, we made a shoulder disarticulation prosthesis. Six months after the operation, the International Society of Limb Salvage-Musculoskeletal Tumor Society functional score was 36.7％ for 6 items and 73.3％ for 3 items, while the Disability of Arm, Shoulder and Hand score was 31.7. The patient-reported outcome had a low score because of the lack of an upper limb, including the scapula. However, when he was discharged from the hospital, he gained self-care independence with only the remaining upper limb and resumed fishing as a hobby. We suggest that rehabilitation after forequarter amputation requires careful intervention based on a deep evaluation of the patient's ADL/IADL, hobbies, and quality of life, in accordance with the patient's lifestyle.</p>

Journal

The Japanese Journal of Rehabilitation Medicine

The Japanese Journal of Rehabilitation Medicine 57 (4), 364-369, 2020-04-17

The Japanese Association of Rehabilitation Medicine

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