Scapulothoracic Dissociation: A Devastating Injury
Scapulothoracic dissociation, although rare, causes significant morbidity and mortality by completely disrupting the attachments of the scapula to the axial skeleton with the skin remaining intact. The defining constellation of injuries is subclavian or axillary vascular disruption, lateral displace...
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| Veröffentlicht in: | The Journal of Trauma: Injury, Infection, and Critical Care Infection, and Critical Care, 1996-01, Vol.40 (1), p.146-149 |
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| container_end_page | 149 |
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| container_issue | 1 |
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| container_title | The Journal of Trauma: Injury, Infection, and Critical Care |
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| creator | Clements, Ronald H. Reisser, John R. |
| description | Scapulothoracic dissociation, although rare, causes significant morbidity and mortality by completely disrupting the attachments of the scapula to the axial skeleton with the skin remaining intact. The defining constellation of injuries is subclavian or axillary vascular disruption, lateral displacement of the scapula, separation of the clavicular articulations with or without fracture of the clavicle, and cervical nerve root avulsion or brachial plexus injury. Orthopedic stabilization, vascular repair, and brachial plexus exploration are mandatory. Above elbow amputation, either primarily or within 24 hours, is recommended for the flail extremity. |
| doi_str_mv | 10.1097/00005373-199601000-00031 |
| format | Article |
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Injuries of the spine ; Joint Dislocations - diagnostic imaging ; Joint Dislocations - economics ; Joint Dislocations - etiology ; Joint Dislocations - surgery ; Male ; Medical sciences ; Radiography ; Salvage Therapy - economics ; Scapula - injuries ; Sternoclavicular Joint - injuries ; Traumas. Diseases due to physical agents</subject><ispartof>The Journal of Trauma: Injury, Infection, and Critical Care, 1996-01, Vol.40 (1), p.146-149</ispartof><rights>Williams & Wilkins 1996. 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The defining constellation of injuries is subclavian or axillary vascular disruption, lateral displacement of the scapula, separation of the clavicular articulations with or without fracture of the clavicle, and cervical nerve root avulsion or brachial plexus injury. Orthopedic stabilization, vascular repair, and brachial plexus exploration are mandatory. Above elbow amputation, either primarily or within 24 hours, is recommended for the flail extremity.</description><subject>Accidents, Traffic</subject><subject>Acromioclavicular Joint - injuries</subject><subject>Adult</subject><subject>Amputation - economics</subject><subject>Biological and medical sciences</subject><subject>Decision Trees</subject><subject>Fatal Outcome</subject><subject>Health Care Costs</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Dislocations - diagnostic imaging</subject><subject>Joint Dislocations - economics</subject><subject>Joint Dislocations - etiology</subject><subject>Joint Dislocations - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Radiography</subject><subject>Salvage Therapy - economics</subject><subject>Scapula - injuries</subject><subject>Sternoclavicular Joint - injuries</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Joint Dislocations - diagnostic imaging</topic><topic>Joint Dislocations - economics</topic><topic>Joint Dislocations - etiology</topic><topic>Joint Dislocations - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Radiography</topic><topic>Salvage Therapy - economics</topic><topic>Scapula - injuries</topic><topic>Sternoclavicular Joint - injuries</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>online_resources</toplevel><creatorcontrib>Clements, Ronald H.</creatorcontrib><creatorcontrib>Reisser, John R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clements, Ronald H.</au><au>Reisser, John R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scapulothoracic Dissociation: A Devastating Injury</atitle><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle><addtitle>J Trauma</addtitle><date>1996-01</date><risdate>1996</risdate><volume>40</volume><issue>1</issue><spage>146</spage><epage>149</epage><pages>146-149</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>Scapulothoracic dissociation, although rare, causes significant morbidity and mortality by completely disrupting the attachments of the scapula to the axial skeleton with the skin remaining intact. 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| identifier | ISSN: 0022-5282 |
| ispartof | The Journal of Trauma: Injury, Infection, and Critical Care, 1996-01, Vol.40 (1), p.146-149 |
| issn | 0022-5282 1529-8809 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Accidents, Traffic Acromioclavicular Joint - injuries Adult Amputation - economics Biological and medical sciences Decision Trees Fatal Outcome Health Care Costs Humans Injuries of the limb. Injuries of the spine Joint Dislocations - diagnostic imaging Joint Dislocations - economics Joint Dislocations - etiology Joint Dislocations - surgery Male Medical sciences Radiography Salvage Therapy - economics Scapula - injuries Sternoclavicular Joint - injuries Traumas. Diseases due to physical agents |
| title | Scapulothoracic Dissociation: A Devastating Injury |
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