Scapulectomy in a 15-year-old boy with osteosarcoma of right scapula. A, Anteroposterior radiograph. B, Bone scan. C, MR image. D, Medial and lateral flaps are raised. E, Deltoid, trapezius, rhomboids, and levator scapulae have been released from their insertions on the scapula. F, Scapula has been removed. G, Sutures are placed into tendon of long head of biceps and conjoined tendon. H, Tendons repaired through drill hole in clavicle. Deltoid is repaired to trapezius muscle. I, Postoperative radiograph.