Zhang Hexin, Yin Yongqiang
Department of Orthopaedics, Yueyang Hospital Affiliated to Hunan Normal University, Yueyang 414000, Hunan Province, China.
Department of Orthopaedics, Yueyang Hospital Affiliated to Hunan Normal University, Yueyang 414000, Hunan Province, China.
Int J Surg Case Rep. 2023 Jun;107:108321. doi: 10.1016/j.ijscr.2023.108321. Epub 2023 May 13.
Scapulothoracic separation is an infrequent ailment marked by the detachment of the upper limb bones from the chest wall, resulting in a range of symptoms. In this report, we present a collection of instances of Scapulothoracic separation.
A female patient, aged 35, was referred to our emergency department from a primary healthcare center for treatment following a high-energy motor vehicle accident that occurred two days prior. Upon examination, no vascular damage was detected. Following the critical period, the patient underwent surgery to repair a clavicle fracture. Despite the passage of three months since the surgery, the patient continues to experience functional limitations in the affected limb.
The incidence of Scapulothoracic separation.is uncommon and stems from forceful injuries, predominantly resulting from vehicular mishaps. In managing this condition, it is imperative to prioritize the individual's safety and prioritize targeted treatment thereafter.
The presence or absence of vascular injury determines the need for emergency surgical treatment, while the presence or absence of neurological injury affects the recovery of limb function.
肩胛胸壁分离是一种罕见的病症，其特征为上肢骨骼与胸壁分离，会引发一系列症状。在本报告中，我们呈现了一组肩胛胸壁分离的病例。
一名35岁女性患者，在两天前发生的一起高能机动车事故后，从一家基层医疗中心转诊至我们的急诊科接受治疗。经检查，未发现血管损伤。度过危险期后，患者接受了锁骨骨折修复手术。尽管手术已过去三个月，但患者患侧肢体仍存在功能受限的情况。
肩胛胸壁分离的发病率较低，多由强力损伤引起，主要源于交通事故。在处理这种情况时，必须优先考虑患者的安全，然后进行针对性治疗。
血管损伤的有无决定了是否需要进行急诊手术治疗，而神经损伤的有无则影响肢体功能的恢复。
