Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2000 Dicembre;41(6) > The Journal of Cardiovascular Surgery 2000 Dicembre;41(6):927-9

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

CASE REPORTS  VASCULAR AND ENDOVASCULAR PAPERS


The Journal of Cardiovascular Surgery 2000 Dicembre;41(6):927-9

lingua: Inglese

Traumatic scapulothoracic dissociation

Witz M., Korzets Z. *, Lehmann J.

From the Vas­cular Sur­gery ­Unit *Depart­ment of Neph­rology, Meir Gen­eral Hos­pital, ­Kfar ­Saba, affil­i­ated to Tel-­Aviv Uni­ver­sity Sackler ­School of Med­i­cine, Tel-­Aviv, ­Israel


PDF  ESTRATTI


Scap­u­loth­o­racic dis­so­ci­a­tion is an infre­quent ­injury ­with a poten­tially dev­as­tating out­come. The diag­nosis is ­based on clin­ical and radio­graphic find­ings of fore­quarter dis­rup­tion. ­These ­include mas­sive ­soft ­tissue ­swelling of the ­shoulder, dis­place­ment of the ­scapula and neu­ro­vas­cular inju­ries (bra­chial ­plexus, sub­cla­vian ­artery and ­osseous-lig­a­men­tous inju­ries). The mech­a­nism of ­injury ­appears to be the ­delivery of ­severe rota­tional ­force ­sheering the ­shoulder ­girdle ­from its ­chest ­wall attach­ments ­around the ­scapula, ­shoulder ­joint and at the clav­icle. ­Early rec­og­ni­tion of the ­entity and aggres­sive treat­ment are cru­cial. Out­come is not depen­dent on man­age­ment of the arte­rial ­injury, but ­rather on the ­severity of the neu­ro­log­ical def­icit.

inizio pagina