Rehabilitation after Forequarter Amputation for Left Scapula Chondrosarcoma：A Case Report
- VernacularTitle: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
- Author:
Yudai FUJIMOTO
1
;
Takaaki TANAKA
1
;
Toru WAKAMATSU
2
;
Seiji IKEDA
2
;
Yuji KATO
1
;
Norifumi NAKA
1
Author Information
- Keywords: sarcoma; cancer; malignant tumor; forequarter amputation; rehabilitation treatment; upper limb prosthesis
- From:The Japanese Journal of Rehabilitation Medicine 2020;57(4):364-369
- CountryJapan
- Language:Japanese
- Abstract: 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.
