Forequarter amputation for open scapulothoracic dissociation: A case report and surgical technique

Clin Case Rep. 2024 Feb 14;12(2):e8535. doi: 10.1002/ccr3.8535. eCollection 2024 Feb.

Abstract

Scapulothoracic dissociation is a rare upper extremity injury caused by high-velocity trauma over anterolateral shoulder leading to disruption of scapulothoracic articulation. It is considered as a limb threatening injury. Very few cases of scapulothoracic dissociation have been reported in medical literature. In this article, we report a unique case of open injury involving laterally displaced and comminuted scapula accompanied by redundant acromioclavicular joint, total brachial plexus injury, and complete transection of brachial artery. The patient underwent a forequarter amputation after a failed vascular repair.

Keywords: Scapulothoracic dissociation; amputation; case report; fracture.

Publication types

  • Case Reports