Oreck S L, Burgess A, Levine A M
J Bone Joint Surg Am. 1984 Jun;66(5):758-63.
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.
肩胛胸壁分离表现为肩胛骨外侧移位和肩锁关节分离，是一种此前未报道过的损伤，即肩胛胸壁关节完全断裂，而软组织无上方部分或完全离断。与肩胛胸壁关节断裂相关的是臂丛神经以及锁骨下动静脉损伤；同侧上肢常伴有多发开放性和闭合性骨折。在严重多发伤患者中，肩胛胸壁分离可能无法立即被识别，从而可能导致致命后果。本文介绍了3例有肩胛胸壁分离影像学和病理学证据的患者病例，并回顾了相关损伤的文献。
