SCAPULOTHORACIC DISSOCIATION
Clinical features:-
The limb is flail and ischaemic. swelling above
the clavicle from an expanding haematoma.
-distraction
of more than 1 cm of a fractured clavicle should
give rise to suspicion of this injury.
Treatment
The patient is resuscitated. The outcome for the
upper limb is very poor. Neither vascular reconstruction
nor brachial plexus exploration and repair are
likely to give a functional limb
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