title: Closed traumatic forequarter amputation without fracture. A case report.
abstract: Closed forequarter amputation (scapulothoracic dissociation) is a rare, easily missed, life-threatening injury. The diagnosis should be suspected in patients with a pulseless, flail limb, supraclavicular haematoma, lateral scapular displacement and clavicular disruption. Early surgery is essential to control haemorrhage and completion of the amputation with attention to closure of the resulting defect is often required. Prognosis for long-term functional recovery is poor, in spite of modern prosthetic aids.
authors.affiliation: Vascular Unit and Trauma Unit, Groote Schuur Hospital, Cape Town.
authors.forename: J
authors.initials: J
authors.lastname: Tunnicliffe
authors.forename: J D
authors.initials: JD
authors.lastname: Knottenbelt
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D005596:Fractures, Closed / Q000000981:diagnostic imaging; D006801:Humans; D011859:Radiography; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*