Clinical Outcomes of Soft Tissue Sarcoma around the Elbow Joint: A Retrospective Single Institution Study

Figure 2

A 23-year-old female with a synovial sarcoma on the left elbow joint (case no. 8). MRI shows the iso-intensity tumor (53 × 32 mm) on T2WI (a). The posterior intraosseous nerve is involved in the tumor (white arrow) (b). The wide excision is performed and combined excision with joint capsule and posterior intraosseous nerve (PIN) (c). The patient shows the PIN palsy after 2 years (d). The tendon transfer (tsuge method) is performed 2 years after the initial surgery. The flexor carpi radialis (FCR) (grey arrow) is transferred to the abductor pollicis longus (black arrow) (e). The palmaris longus (black arrowhead) is transferred to the extensor pollicis longus (white arrowhead) and the FCR (white line arrowhead) is transferred to the extensor digitorum communis (f). The patient demonstrates full extension of fingers 2 years after the second surgery (g).

(a)

(b)

(c)

(d)

(e)

(f)

(g)