Fig. 4

Illustration of the new modified approach demonstrating the line (dotted line) of the extended skin incision (A), the additional osteotomies to the clavicle, coracoid and acromion allowing an enhanced visualization of the tumor area (B), and final fixation of the clavicle and acromion osteotomies with plate and screws (C). © Copyright 2025 by The Curators of the University of Missouri, a public corporation