Scapulothoracic dissociation: a case report.
Scapulothoracic dissociation has been described as a "closed traumatic forequarter amputation" and is characterized by massive soft tissue swelling of the shoulder, lateral displacement of the scapula, neurovascular injuries (brachial plexus, subclavian artery), an osseous-ligamentous injuries. In addition to the lateral displacement of the scapula, an acromioclavicular separation, a displaced fracture of the clavicle or sternoclavicular separation can be identified on plain X-rays. This injury pattern has been infrequently reported. We present a patient who had a previously unreported combination of roentgenographic findings, and in whom the diagnosis was revealed by computed tomographic evaluation.
Department of Orthopedics and Trauma Surgery, University of Akdeniz Medical School, Antalya, Turkey.
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D000063:Accidents, Traffic; D000328:Adult; D050723:Fractures, Bone / Q000175:diagnosis; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis; D008297:Male; D012540:Scapula / Q000293:injuries*; D013247:Sternoclavicular Joint / Q000293:injuries; D013249:Sternum / Q000293:injuries; D013348:Subclavian Artery / Q000293:injuries; D013898:Thoracic Injuries / Q000175:diagnosis; D014949:Wounds, Nonpenetrating / Q000175:diagnosis