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The Flail and Pulseless Upper Limb: an Extreme Case of Traumatic Scapulo-thoracic Dissociation
| Content Provider | Semantic Scholar |
|---|---|
| Author | Maria, S. W. Sapuan, Jamari Abdullah, Sara Mohammed |
| Copyright Year | 2015 |
| Abstract | Scapulo-thoracic dissociation is an infrequent injury resulting from high energy trauma which is often associated with severe neurological and vascular injuries which may be unrecognised at the time of presentation. A 24 year-old female presented with bilateral rib fractures, pneumothorax, liver and kidney injuries following a road traffic accident. She also sustained fractures of her right scapula, odontoid, right transverse processes of the thoracic and lumbar vertebrae and a closed fracture of her right femur. Her right upper limb was later noted to be flail and pulseless, due to complete right brachial plexus injury, scapula-thoracic dissociation and subclavian artery avulsion. We managed the upper limb injuries non-operatively, and focused on resuscitation of the patient. Early exploration of the complete brachial plexus injury was not undertaken in spite of the possible associated poor functional outcome as there was no life-threatening indication. |
| Starting Page | 54 |
| Ending Page | 56 |
| Page Count | 3 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.morthoj.org/2015/v9n2/Pulseless-Upper-Limb.pdf |
| PubMed reference number | 28435612v1 |
| Alternate Webpage(s) | https://doi.org/10.5704/MOJ.1507.002 |
| DOI | 10.5704/moj.1507.002 |
| Journal | Malaysian orthopaedic journal |
| Volume Number | 9 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Bone structure of lumbar vertebra Bone structure of scapula Bone structure of spine Brachial plexus structure Chest Pathological fracture Patients Pneumothorax Renal Tissue Resuscitation procedure Rib Fractures Structure of subclavian artery Thoracic Outlet Syndrome Traffic accidents Upper Extremity Vascular System Injuries Wounds and Injuries brachial plexus injury |
| Content Type | Text |
| Resource Type | Article |
