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Journal of Orthopaedics and Traumatology

Official Journal of the Italian Society of Orthopaedics and Traumatology

Fig. 3 | Journal of Orthopaedics and Traumatology

Fig. 3

From: Functional and oncological outcomes of patients with proximal humerus osteosarcoma managed by limb salvage

Fig. 3

A Preoperative investigations. Left: X-ray of the Rt shoulder showed an extensively sclerotic lesion with a periosteal reaction, as indicated by a Codman triangle and sunburst appearance. Center: Axial-cut MRI of the shoulder with T1 gadolinium tumor enhancement. Right: Coronal-cut MRI demonstrating a high signal intensity on T2-weighted imaging. B Resected specimen. C Immediate postoperative X-ray (left) and imaging performed at 12 weeks of follow-up (right), with fusion at the humerus–implant junction readily visible. D At 6 months of follow-up, the patient showed satisfactory elbow flexion ROM (range of motion), varying between 10 and 120 degrees, while shoulder abduction was limited to 40 degrees

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