Abstract
Scapulothoracic dissociation is a potentially limb-threatening and life-threatening high energy injury. Diagnosis could be obscured due to other associated trauma sustained by the patient. We present a rare case of motor vehicle accident involving 2 motorcyclists who collided onto each other, resulting in both victims sustaining left upper limb scapulothoracic dissociation.International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 169-171
Highlights
Scapulothoracic dissociation is a rare injury to the upper limb
We report a rare incidence where both victims involved in the same accident sustained scapulothoracic dissociation with subclavian artery injury and brachial plexus injury to their left upper limb
The scapula index requires both the distance from the medial border of each scapula to the spinous process to be measured in a non-rotated chest radiograph
Summary
Scapulothoracic dissociation is a rare injury to the upper limb. This clinical entity was first described in1984 as an injury resulting in lateral or rotational displacement of shoulder girdle with intact skin. [1] The injury varies from simple musculoskeletal pain to open dissociation of the shoulder girdle with or without associated neurovascular injury. [2,3] Involvement of brachial plexus was found to be the main prognostic factor towards poorer outcome. Introduction Scapulothoracic dissociation is a rare injury to the upper limb. We report a rare incidence where both victims involved in the same accident sustained scapulothoracic dissociation with subclavian artery injury and brachial plexus injury to their left upper limb. Further examination reveals absent brachial and radial pulses of left upper limb, an increasing swelling over left shoulder girdle region and lack of sensation over the entire left upper limb.
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