The Journal of Bone and Joint Surgery, Vol 66, Issue 5 758-763, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc
Traumatic lateral displacement of the scapula: a radiographic sign of neurovascular disruption
SL Oreck, A Burgess and AM Levine
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.