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Citation |
McCague A, Schulte A, Davis JV. J. Emerg. Trauma Shock 2012; 5(4): 363-366. |
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Affiliation |
Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA. |
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Copyright |
(Copyright © 2012, INDO-US Emergency and Trauma Collaborative, Publisher Medknow Publications) |
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DOI |
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PMID |
23248512 |
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Abstract |
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. Language: en |