06 April 2022
: Case report 
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-Year-Old Woman Injured While Cycling
Challenging differential diagnosis, Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology
Christos Vlachos1ABCEF*, Eftychios Papagrigorakis
1ABCEF, Elias Vasiliadis 1ABCEF, Vasileios Marougklianis1ABCEF, Athanasios Galanis1ABCDEF, Dimitrios Zachariou1ABCEF, Michail Vavourakis1AB, Spiros Pneumaticos1ABCEF
DOI: 10.12659/AJCR.935781
Am J Case Rep 2022; 23:e935781
Table 1. Summary of the 2 cases of scapulothoracic dissociation.
| Case | Mechanism | Shoulder injury | Associated injuries | Vascular injury | Nerve injury | Treatment | Classification/MESS |
|---|---|---|---|---|---|---|---|
| 1 | Car collision | Clavicle fracture | Pneumothorax, A6-7 facet joints, T4-7 spinal bodies, and L1-4 transverse processes fractures | None | None | ORIF of the clavicle fracture | I/M5 |
| 2 | Bicycle crash | Open clavicle fracture | Hemothorax, Central cord syndrome, Antibrachial, C6 spinal process, T2 spinal body fractures | None | Complete C7 tetraplegia, Brachial plexus palsy with avulsion of C5-T1 roots | ORIF of the clavicle and antribrachial fractures | IIB/M9 |
| ORIF – Open Reduction Internal Fixation; MESS – Mangled Extremity Severity Score. | |||||||