Traumatic lateral displacement of the scapula: A radiographic sign of neurovascular disruption

S. L. Oreck, A. Burgess, A. M. Levine

Research output: Contribution to journalArticlepeer-review

Abstract

Scapulothoracic dissociation, as manifested by lateral displacement of the scapula and acromioclavicular separation, is a previously unreported injury in which there is a complete disruption of the scapulothoracic articulation without an overlying partial or complete amputation through the soft tissue. Associated with the disruption of the scapulothoracic articulation are injuries to the brachial plexus and the subclavian artery and vein; multiple open and closed fractures of the ipsilateral upper extremity are often present also. In the patient with severe multiple injuries, scapulothoracic dissociation may not be recognized immediately, with potentially fatal consequences. In this paper we present the cases of three patients with radiographic and pathological evidence of scapulothoracic dissociation and review the literature on related injuries.

Original languageEnglish (US)
Pages (from-to)758-763
Number of pages6
JournalJournal of Bone and Joint Surgery - Series A
Volume66
Issue number5
DOIs
StatePublished - Jan 1 1984

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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