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Related Experiment Videos

Traumatic scapulothoracic dissociation: case report.

K Johansen1, B Sangeorzan, M K Copass

  • 1Department of Surgery, Harborview Medical Center, University of Washington School of Medicine, Seattle 98104.

The Journal of Trauma
|January 1, 1991
PubMed
Summary

Traumatic scapulothoracic dissociation (TSD) is a severe injury requiring immediate medical attention. Prompt recognition and aggressive management are vital for patient survival and recovery.

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Area of Science:

  • Traumatology
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Traumatic scapulothoracic dissociation (TSD) is a rare and severe injury.
  • It involves significant disruption of the shoulder girdle and upper extremity neurovasculature.
  • TSD often results from high-energy trauma.

Observation:

  • A 23-year-old male bicyclist sustained TSD after a motor vehicle accident.
  • The patient presented with a critically low hematocrit of 7, indicating severe hemorrhage.
  • Despite the severity, the patient survived the initial insult.

Findings:

  • TSD is characterized by brachial plexus damage and extensive musculoskeletal disruption.
  • Exsanguinating hemorrhage is a common and life-threatening complication of TSD.

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  • Survival is possible even with profound anemia.

    • Implications:

    • Early identification of TSD is critical for initiating life-saving interventions.
    • Aggressive and multidisciplinary management is essential to address the complex injuries.
    • This case highlights the importance of prompt trauma care in TSD patients.