case_images: PMC9868392_01
case_images: Photograph of the patient showing the right lateral clavicle mass.
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case_images: PMC9868392_01_fbioe-10-1085674-g001.jpg
case_images: F1
case_images: Physical examination indicated a hard mass located lateral clavicle area approximately 8 x 4 x 4 cm in size, with no overlying erythema (Figure 1).
case_images: Preoperative image data of the patient. (A) Anteroposterior X-ray of the right clavicle showing an large and expansive lesion (Red Arrow), with another lesion involving coracoid process (Blue Arrow). (B, C) Computed tomography (CT) images showing osteolytic lesions with cortex-destructing. Magnetic resonance imaging showing the expansive lump with isointensity to muscle on a (D) T1-weighted image and homogeneous hyperintensity on a T2-weighted image (E). (F) 3D model of the shoulder reconstructed from CT scans.
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case_images: PMC9868392_01_fbioe-10-1085674-g002.jpg
case_images: F2
case_images: The X-ray and computed tomography (CT) scan revealed an expansive and osteolytic lesion with cortex-destructing in the right lateral clavicle (Figure 2).
case_images: (A) Reconstructed virtual 3D tumors and clavicle models. (B) The virtual 3D personalized prosthesis model. (C) Simulated implantation of the prosthesis with a curved intramedullary stem.
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case_images: PMC9868392_01_fbioe-10-1085674-g003.jpg
case_images: F3
case_images: Lastly, "Region Grow" was used to segment out the bone (Figure 3).
case_images: Profile of the prosthesis.
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case_images: PMC9868392_01_fbioe-10-1085674-g004.jpg
case_images: F4
case_images: The preliminary prosthesis shape was designed by mirroring the contralateral normal clavicle model (Figure 4).
case_images: Intraoperative pictures. (A) Resection of the lateral clavicle was performed. (B) Implantation of the prosthesis. (C) Photograph of the resected tumor specimens.
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case_images: PMC9868392_01_fbioe-10-1085674-g005.jpg
case_images: F5
case_images: The clavicle tumor resection was performed precisely according to the preoperative plan (Figure 5).
case_images: (A, B) 12-month and 36-month postoperative anteroposterior view X-ray. (C) The anteroposterior digital tomosynthesis graph showed no radiolucent lines around the intramedullary stem.
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case_images: PMC9868392_01_fbioe-10-1085674-g006.jpg
case_images: F6
case_images: Postoperatively radiographic examinations revealed a good position of the prosthesis, neither breakage nor loosening was detected (Figure 6).