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Scapulothoracic dissociation. A case report.

J M Kelbel, O M Jardon, W W Huurman

    Clinical Orthopaedics and Related Research
    |August 1, 1986
    PubMed
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    Severe shoulder trauma can cause scapulothoracic dissociation (STD), a condition involving fractures and disruption of the scapula. This injury pattern suggests potential damage to the brachial plexus and subclavian artery.

    Area of Science:

    • Orthopedic Surgery
    • Trauma Surgery
    • Vascular Surgery

    Background:

    • Scapulothoracic dissociation (STD) is a rare and severe upper extremity injury.
    • It involves disruption of the scapula from the thoracic cage, often associated with significant trauma.

    Observation:

    • A 26-year-old male patient presented with severe shoulder girdle trauma leading to STD.
    • The patient experienced multiple upper extremity fractures and closed disruption of the scapula.
    • Associated injuries included damage to local neurovascular structures.

    Findings:

    • The patient sustained a blunt subclavian arterial injury.
    • The presence of STD and arterial injury raised suspicion for severe brachial plexus lesions.

    Implications:

    Related Experiment Videos

    • This case highlights the potential for combined vascular and neurological compromise in STD.
    • Early recognition of STD and associated injuries is crucial for timely management.
    • Further research into the neurovascular implications of STD is warranted.