@article{3220112,
    title = "Two Case Presentations of Scapulothoracic Dissociation with a Range of Features and Approaches to Management: A 26-Year-Old Woman Injured in a Car Accident and a 52-YearOld Woman Injured While Cycling",
    author = "Vlachos, C. and Papagrigorakis, E. and Vasiliadis, E. and Marougklianis, V. and Galanis, A. and Zachariou, D. and Vavourakis, M. and Pneumaticos, S.",
    journal = "American Journal of Ophthalmology Case Reports",
    year = "2022",
    volume = "23",
    publisher = "International Scientific Information, Inc.",
    issn = "2451-9936",
    doi = "10.12659/AJCR.935781",
    keywords = "adult;  Article;  brachial plexus injury;  cell transplantation;  central cord syndrome;  clavicle fracture;  clinical article;  clinical feature;  conservative treatment;  cycling;  female;  hospital discharge;  human;  image analysis;  joint mobilization;  multiple trauma;  nuclear magnetic resonance imaging;  open luxation reduction;  osteosynthesis;  pneumothorax;  postoperative period;  prognosis;  return to work;  scapulothoracic dissociation;  scoring system;  shoulder dislocation;  thorax radiography;  traffic accident;  accident;  car;  case report;  clavicle;  injury;  middle aged;  multiple trauma;  scapula, Accidents;  Adult;  Automobiles;  Clavicle;  Female;  Humans;  Middle Aged;  Multiple Trauma;  Scapula",
    abstract = "Objective: Background: Case Reports: Conclusions: Rare disease Scapulothoracic dissociation (SD) is caused by a high-energy trauma that results in disruption of the scapulothoracic articulation, scapula and clavicular fracture, and severe neurovascular injury. This report describes 2 cases of traumatic SD with a range of features and approaches to management, a 26-year-old woman injured in a car accident and a 52-year-old woman injured while cycling. Case 1. A 26-year-old woman sustained an SD due to a car accident. A high index of suspicion led to the diagnosis, since there was a subtle clinical presentation. Open reduction and internal fixation (ORIF) of the clavicle was performed and the postoperative course was uncomplicated. Case 2. A 52-year-old woman was hit by a car while cycling and sustained multiple trauma injuries including a simultaneous brachial plexus injury and central cord syndrome, making the diagnosis of both entities a challenge. ORIF of the clavicle was performed and the brachial plexus was treated in a second stage. At the time of this report, the prognosis was poor. These cases have shown that the accurate diagnosis of SD requires a high index of suspicion and a detailed clinical examination and imaging, since there is a range of presentations and anatomic findings. Rapid treatment is crucial in preventing limb deformity and neurological damage and saving the patient’s life. © Am J Case Rep."
}