Surgical resection of distal clavicle, upper humerus, and all or part of scapula for treatment of high-grade osteosarcoma and soft tissue sarcoma of shoulder girdle and proximal humerus; contraindicated if neurovascular bundle is involved. Procedure involves elliptical incision from anterior shoulder to just proximal to antecubital fossa, with variable use of prosthesis. Postop patient usu. retains some elbow and hand function.