Journal of Emergencies, Trauma, and Shock
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Year : 2012  |  Volume : 5  |  Issue : 4  |  Page : 363-366

Scapulothoracic dissociation: An emerging high-energy trauma in medical literature

Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA

Correspondence Address:
Andrew McCague
Department of Surgery, Arrowhead Regional Medical Center, Colton, CA
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.102416

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Scapulothoracic dissociation (STD) is a devastating consequence of high-energy trauma sustained by the shoulder girdle that can easily result in rapid mortality. Since described by Oreck et al. in 1984, STD has been reported in a handful of journals and individual case series, though is still considered a rare occurrence in the context of shoulder injuries. In this report, we examine the case of a 25-year-old female involved in a high-speed rollover auto accident. Unique to this case was the discovery of a completely transected axillary artery and vein with intracorporeal bleeding and complete avulsion of the ipsilateral brachial plexus requiring immediate ligation of the vessels followed by interval above-elbow-amputation and later glenohumeral disarticulation.

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