Scapulothoracic dissociation.
نویسندگان
چکیده
Dr Lavelle is from the Department of Orthopedics, SUNY Upstate Medical University, East Syracuse, and Dr Uhl is from the Division of Orthopedic Surgery, Albany Medical College, Albany, New York. Drs Lavelle and Uhl have no relevant fi nancial relationships to disclose. Correspondence should be addressed to: Richard Uhl, MD, Division of Orthopedic Surgery, Albany Medical College, 1367 Washington Ave, Ste 200, Albany, NY 12206 ([email protected]). doi: 10.3928/01477447-20100429-23 A scapulothoracic dissociation is often associated with severe neurological and vascular injuries, which may be unrecognized at the time of presentation and may be potentially life threatening.
منابع مشابه
Scapulothoracic Dissociation: A Rare Variant: A Case Report
ABSTRACT Scapulothoracic dissociation is a rare injury involving separation of scapula from the thorax along with the upper extremity. Majority of the patients have concomitant neurovascular injury and the prognosis is uniformly poor in such cases. We present a case of scapulothoracic dissociation with comminuted fracture of scapula and acromioclavicular joint disruption without neurovascular d...
متن کاملA Paradoxical Triad: Scapulothoracic Dissociation with Clavicle and Humeral Shaft Fractures
Scapulothoracic dissociation involves varying degree of discontinuity of the upper extremity from its truncal attachment. An eighteen-year-old male presented to the accident and emergency department following a motor vehicle accident where he was hit by a four wheeler while riding a two wheeler. He had tenderness and deformity over the left clavicle and the left humerus. He was unable to perfor...
متن کاملTreatment of Combined Injuries of the Axillary and Suprascapular Nerves with Scapulothoracic Dissociation.
A 20-year-old man suffered the combined axillary and suprascapular nerve palsies associated with scapulothoracic dissociation by motorcycle accident. The dislocated shoulder girdle was reduced and stabilized with osteosynthesis of the fractured clavicle and reattachment of the trapezius avulsed from the scapular spine for removal of continuous traction force to these damaged nerves. Because of ...
متن کامل"Floating shoulder" injuries.
"Floating shoulder" is a rare injury complex resulting from high-energy blunt force trauma to the shoulder, resulting in scapulothoracic dissociation. It is commonly associated with catastrophic neurovascular injury. Two cases of motorcyclists with floating shoulder injuries are described.
متن کاملScapulothoracic dissociation: level of vascular insult, an indirect prognostic indicator for the final outcome?
Scapulothoracic dissociation is the result of severe blunt trauma or sudden forceful traction applied to the shoulder, simulating a traumatic forequarter amputation but with sparing of the skin. This grievous injury results in injury at three levels: neural, vascular and musculoskeletal. Since the neural damage cannot be ascertained in the acute stage of this injury, wheras the vascular injury ...
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ورودعنوان ژورنال:
- Orthopedics
دوره 33 6 شماره
صفحات -
تاریخ انتشار 2010