title: Scapulothoracic and scapholunate dissociation in the ipsilateral upper limb of a trauma victim.
abstract: Scapulothoracic dissociation is a rare and complex injury pattern with varied presentation. Here we describe a case of a 32-year-old male who presented with scapulothoracic dissociation associated with brachial plexus injury, along with scapholunate dissociation. We also propose an injury mechanism that might link the two injury patterns, suggesting that the association might be more than by chance. The patient was managed according to established trauma care and resuscitation protocols followed by open reduction and internal fixation of the clavicle fracture, and fixation of scapholunate dissociation and had a successful outcome at follow-up.
authors.affiliation: Orthopedic Surgery, Dr. RML Hospital and PGIMER, New Delhi 110001, India.
authors.forename: Hitesh
authors.initials: H
authors.lastname: Lal
authors.forename: Yashwant Singh
authors.initials: YS
authors.lastname: Tanwar
authors.forename: Atin
authors.initials: A
authors.lastname: Jaiswal
authors.forename: Satya Prakash
authors.initials: SP
authors.lastname: Singh
authors.forename: Masood
authors.initials: M
authors.lastname: Habib
mesh_terms: D000328:Adult; D001134:Arm Injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D009104:Multiple Trauma; D012540:Scapula / Q000293:injuries*; D013898:Thoracic Injuries / Q000601:surgery*