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Related Experiment Videos

Scapulothoracic dissociation.

N A Ebraheim1, H S An, W T Jackson

  • 1Department of Orthopaedic Surgery, Medical College of Ohio, Toledo 43699.

The Journal of Bone and Joint Surgery. American Volume
|March 1, 1988
PubMed
Summary
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Scapulothoracic dissociation, a rare shoulder injury from blunt force, involves scapular displacement and severe neurovascular damage. Most patients with complete brachial plexus injury experienced a flail upper extremity.

Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Anatomy

Background:

  • Scapulothoracic dissociation is a rare injury involving disruption of the scapulothoracic articulation.
  • The injury typically results from traction caused by blunt force to the shoulder girdle.

Purpose of the Study:

  • To describe the characteristics and treatment outcomes of patients with scapulothoracic dissociation.
  • To highlight the severity of associated injuries and functional deficits.

Main Methods:

  • Retrospective review of fifteen patients diagnosed with scapulothoracic dissociation.
  • Analysis of injury mechanisms, associated injuries, surgical interventions, and patient outcomes.

Main Results:

  • Patients presented with massive soft-tissue swelling, lateral scapular displacement, bony injury, and severe neurovascular compromise.

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  • Three patients (20%) died from exsanguination or cardiac arrest.
  • Twelve patients (80%) with complete brachial plexus injury were left with a flail upper extremity, with most declining amputation.

    • Conclusions:

    • Scapulothoracic dissociation is a severe traumatic injury with high rates of associated morbidity and mortality.
    • Management involves addressing vascular and nerve injuries, but functional recovery of the upper extremity is often poor, particularly with complete brachial plexus injury.