23140 Excision or curettage of bone cyst or benign tumor of clavicle or scapula

Name of the Procedure:

Excision or Curettage of Bone Cyst or Benign Tumor of Clavicle or Scapula

Summary

This surgical procedure involves removing or scraping out a bone cyst or benign tumor from the clavicle (collarbone) or scapula (shoulder blade). It aims to relieve symptoms and prevent further complications.

Purpose

This procedure addresses bone cysts or benign tumors in the clavicle or scapula that may cause pain, swelling, or functional impairment. The goal is to eliminate the abnormal growth, alleviate symptoms, and prevent potential complications such as fractures or deformities.

Indications

• Persistent pain or swelling in the shoulder area
• Restricted movement or decreased function of the shoulder
• Risk of fracture or structural weakening of the clavicle or scapula
• Diagnosis of a benign bone tumor or cyst confirmed through imaging studies

Preparation

• Patients may be instructed to fast for a specific period before the procedure.
• Medication adjustments may be necessary, especially for blood thinners.
• Preoperative imaging studies such as X-rays or MRI scans to assess the cyst or tumor.

Procedure Description

1. Anesthesia: General anesthesia is commonly administered to ensure the patient is asleep and pain-free.
2. Incision: A small incision is made over the affected area of the clavicle or scapula.
3. Excision or Curettage: The surgeon carefully removes or scrapes out the bone cyst or benign tumor using specialized surgical instruments.
4. Closure: The incision is closed with sutures or surgical staples, and a sterile dressing is applied.

Duration

The procedure typically takes about 1 to 2 hours, depending on the size and location of the cyst or tumor.

Setting

This procedure is usually performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic Surgeon
• Anesthesiologist
• Surgical Nurses
• Operating Room Technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Nerve or blood vessel injury
• Incomplete removal of the cyst or tumor
• Recurrence of the cyst or tumor
• Adverse reactions to anesthesia

Benefits

• Relief from pain and swelling
• Improved shoulder function and mobility
• Reduced risk of fractures or deformities
• Prompt recovery with appropriate treatment

Recovery

• Post-procedure care includes managing pain with prescribed medications and keeping the surgical site clean.
• Patients may need to wear a sling or shoulder immobilizer for a few days to weeks.
• Physical therapy may be recommended to restore function and strength.
• Full recovery typically takes several weeks to a few months, with follow-up appointments to monitor healing.

Alternatives

• Observation for small, asymptomatic cysts or tumors
• Needle aspiration or drainage for fluid-filled cysts
• Non-surgical treatments such as corticosteroid injections
• Pros and cons: Alternatives may carry lower immediate risks but might not provide as definitive a solution as surgical removal.

Patient Experience

During the procedure, the patient is under general anesthesia and feels no pain. Postoperatively, there may be some discomfort or pain managed with medications. Patients may experience temporary restrictions on shoulder movement and need assistance with daily activities during the initial recovery phase.