Das Adhikari Debasis, David Suresh S, Kumar G Ram
Department of Accident and Emergency Medicine, Christian Medical College and Hospital, Vellore 632004.
J Indian Med Assoc. 2006 Jun;104(6):334-5.
Scapulothoracic dissociation (SCTD) is a rare clinical entity with fewer than 70 cases reported in English literature. The mechanism of injury is severe rotational force, which causes disruption of the shoulder girdle from the rest of chest wall. Frequently, SCTD produces massive blood loss as it involves major fractures of the upper extremity, disruption of muscle, brachial plexus, and vascular damage. This case report demonstrates classical radiological findings of SCTD with brachial plexus injury but with no associated vascular damage.
肩胛胸壁分离（SCTD）是一种罕见的临床病症，英文文献报道的病例少于70例。损伤机制为严重的旋转力，导致肩胛带与胸壁其他部分分离。SCTD常因涉及上肢的主要骨折、肌肉断裂、臂丛神经损伤和血管损伤而导致大量失血。本病例报告展示了伴有臂丛神经损伤但无相关血管损伤的SCTD的典型影像学表现。
