Parrish, William M
Purpose of Review:
Tumors of the proximal humerus are common. While most these neoplasms are benign, an appreciation of the importance of appropriate evaluation and management is necessary. This article reviews the appropriate clinical evaluation of bone tumor and advances in the treatment of common neoplastic processes of the proximal humerus.
Diagnosis of proximal humeral tumors should include a complete history, physical examination, appropriate imaging studies, and biopsy techniques. Advances in imaging capabilities with the improvement of MRI imaging and PET scanning make these modalities more useful for staging and treatment planning. These imaging improvements have contributed to the ability of physicians to use percutaneous treatment modalities for such relatively common tumors such as simple bone cysts and osteoid osteomas of bone. Advances in prosthetic implants have provided treating surgeons with wider selections of limb salvage and reconstruction options for the upper extremity. Bisphosphonate therapy has decreased morbidity for patients with metastatic bone disease.
Advances in imaging techniques and less invasive treatment options for some common proximal humeral tumors have lead to more effective and less morbid treatment options. In addition, improved limb reconstruction options and bisphosphonate therapies result in better clinical results for patients.
Current Opinion in Orthopedics. 15(4):274-278, August 2004.