Traumatic scapulothoracic dissociation

M. Witz, Z. Korzets, J. Lehmann

Research output: Contribution to journalArticlepeer-review

Abstract

Scapulothoracic dissociation is an infrequent injury with a potentially devastating outcome. The diagnosis is based on clinical and radiographic findings of fore-quarter disruption. These include massive soft tissue swelling of the shoulder, displacement of the scapula and neurovascular injuries (brachial plexus, subclavian artery and osseous-ligamentous injuries). The mechanism of injury appears to be the delivery of severe rotational force sheering the shoulder girdle from its chest wall attachments around the scapula, shoulder joint and at the clavicle. Early recognition of the entity and aggressive treatment are crucial. Outcome is not dependent on management of the arterial injury, but rather on the severity of the neurological deficit.

Original languageEnglish
Pages (from-to)927-929
Number of pages3
JournalJournal of Cardiovascular Surgery
Volume41
Issue number6
StatePublished - 2000
Externally publishedYes

Keywords

  • Amputation
  • Brachial plexus injuries
  • Scapulothoracic dissociation
  • Subclavian arteries injuries
  • Wound, non penetrating

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