case_images: PMC5350483_01
case_images: After lung cancer surgery (right thoracotomy).
case_images: CRIOR2017-8486739.001.jpg
case_images: PMC5350483_01_CRIOR2017-8486739.001.jpg
case_images: fig1
case_images: 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).
case_images: Preoperative CT.
case_images: CRIOR2017-8486739.002.jpg
case_images: PMC5350483_01_CRIOR2017-8486739.002.jpg
case_images: fig2
case_images: This locking was not evident on CT when the pain was absent (Figure 2).
case_images: Preoperative positioning.
case_images: CRIOR2017-8486739.003.jpg
case_images: PMC5350483_01_CRIOR2017-8486739.003.jpg
case_images: fig3
case_images: 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).
case_images: Intraoperative photographs.
case_images: CRIOR2017-8486739.004.jpg
case_images: PMC5350483_01_CRIOR2017-8486739.004.jpg
case_images: fig4
case_images: A bone saw was then used to remove the inferior angle of the scapula, leaving a margin of +1 cm (Figure 4).
case_images: Postoperative CT: locking symptoms improved after resection of the inferior angle of the scapula.
case_images: CRIOR2017-8486739.005.jpg
case_images: PMC5350483_01_CRIOR2017-8486739.005.jpg
case_images: fig5
case_images: Postoperatively, the locking symptoms improved, but pain still occurred when the resection margin collided with the ribs (Figure 5).