Scapulothoracic dissociation is a rare injury involving
separation of scapula from the thorax along with the upper
extremity. Majority of the patients have concomitant
neurovascular injury and the prognosis is uniformly
poor in such cases. We present a case of scapulothoracic
dissociation with comminuted fracture of scapula and
acromioclavicular joint disruption without neurovascular
deficit. There were associated avulsion fractures of the
spinous processes of vertebrae (T3-T5). Such presentation
is rare in an already rare scapulothoracic dissociation
injury. A discussion regarding the probable mechanism of
injury, management and prognosis is presented.Key Wordsscapulothoracic dissociation, scapula fracture, brachial
plexus injury, vascular injury
Though clavicle fractures are routinely seen in clinical practice, rarely do we encounter segmental fractures. This unusual pattern of fracture in clavicle has been seldom reported previously. We present a case of segmental fracture of the left clavicle fracture in a 64year old who was treated successfully. A detailed literature review has been presented too.
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