PMC5350483_01
After lung cancer surgery (right thoracotomy).
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fig1
After the patient performed a push-up movement, however, the pain appeared, and the shoulder girdle was locked at a horizontal abduction angle of 45  (Figure 1).
Preoperative CT.
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fig2
This locking was not evident on CT when the pain was absent (Figure 2).
Preoperative positioning.
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fig3
Surgery was carried out via a high posterolateral incision (using the skin incision made during chest surgery) with the patient in the lateral decubitus position (Figure 3).
Intraoperative photographs.
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fig4
A bone saw was then used to remove the inferior angle of the scapula, leaving a margin of +1 cm (Figure 4).
Postoperative CT: locking symptoms improved after resection of the inferior angle of the scapula.
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fig5
Postoperatively, the locking symptoms improved, but pain still occurred when the resection margin collided with the ribs (Figure 5).