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Scapulothoracic dissociation: An emerging high-energy trauma in medical literature.
MedLine Citation:
PMID:  23248512     Owner:  NLM     Status:  PubMed-not-MEDLINE    
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.
Andrew McCague; Adam Schulte; Joseph Vivian Davis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of emergencies, trauma, and shock     Volume:  5     ISSN:  0974-2700     ISO Abbreviation:  J Emerg Trauma Shock     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-12-18     Completed Date:  2012-12-19     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101493921     Medline TA:  J Emerg Trauma Shock     Country:  India    
Other Details:
Languages:  eng     Pagination:  363-6     Citation Subset:  -    
Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA.
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