An H S, Vonderbrink J P, Ebraheim N A, Shiple F, Jackson W T
Department of Orthopaedic Surgery, Medical College of Ohio, Toledo 43699.
J Orthop Trauma. 1988;2(1):36-8. doi: 10.1097/00005131-198802000-00009.
A case of open scapulothoracic dissociation with intact neurovascular status in an 8-year-old girl is reported. Scapulothoracic dissociation is a rare injury. Most cases present with significant soft tissue disruption in the shoulder region secondary to separation of the scapula from the thorax, and involve major vascular and brachial plexus injuries. This case report illustrates that an obvious roentgenographic scapulothoracic dissociation may be seen without any neurovascular deficit in a child. Successful treatment, with anatomical repair of the muscles and stabilization of the scapula, is described.
报告了一例8岁女童开放性肩胛胸壁分离且神经血管状态完好的病例。肩胛胸壁分离是一种罕见的损伤。大多数病例表现为肩部区域继发于肩胛骨与胸廓分离的严重软组织破坏，并累及主要血管和臂丛神经损伤。本病例报告表明，儿童可能出现明显的X线肩胛胸壁分离而无任何神经血管缺损。文中描述了通过肌肉的解剖修复和肩胛骨固定进行成功治疗的情况。
