Τίτλος:
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
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Vlachos, C.
Papagrigorakis, E.
Vasiliadis, E.
Marougklianis, V.
Galanis, A.
Zachariou, D.
Vavourakis, M.
Pneumaticos, S.
Περιοδικό:
American Journal of Ophthalmology Case Reports
Εκδότης:
International Scientific Information, Inc.
Λέξεις-κλειδιά:
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
DOI:
10.12659/AJCR.935781
