Scapulothoracic dissociation - Revision history

Mholtz: Text replacement - "-->" to "→"

2017-02-08T19:28:29Z

Text replacement - "-->" to "→"

← Revisión anterior		Revisión del 19:28 8 feb 2017
Línea 8:		Línea 8:
	*Swelling, ecchymosis to shoulder		*Swelling, ecchymosis to shoulder
	*Injury to subclavian or axillary arteries: hematoma, pulse deficit		*Injury to subclavian or axillary arteries: hematoma, pulse deficit
	*Severe mechanism ~~-->~~ often associated with [[chest trauma]]		*Severe mechanism → often associated with [[chest trauma]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
	*Any evidence of neuro or vascular damage, hemodynamic ~~instability-->~~ surgery		*Any evidence of neuro or vascular damage, hemodynamic instability→ surgery
	*Normal neuro exam, no vascular injury: immobilization, supportive care		*Normal neuro exam, no vascular injury: immobilization, supportive care

ClaireLewis at 23:22, 10 September 2016

2016-09-10T23:22:27Z

← Revisión anterior		Revisión del 23:22 10 sep 2016
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	==References==		==References==
	<references/>		<references/>

			[[Category:Orthopedics]] [[Category:Trauma]]

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T10:41:17Z

Text replacement - "*CXR" to "*CXR"

← Revisión anterior		Revisión del 10:41 9 sep 2016
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	==Evaluation==		==Evaluation==
	*CXR		*[[CXR]]
	**Laterally displaced scapula		**Laterally displaced scapula
	**Associated with distracted [[clavicle fracture]], AC spearation, sternoclavicular dislocation		**Associated with distracted [[clavicle fracture]], AC spearation, sternoclavicular dislocation

Rossdonaldson1: /* Differential Diagnosis */

2016-09-09T06:42:43Z

Differential Diagnosis

← Revisión anterior		Revisión del 06:42 9 sep 2016
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Thoracic trauma DDX}}

	==Evaluation==		==Evaluation==

ClaireLewis: Created page with "==Background== Traumatic dislocation of scapula from thoracic wall Mechanism: massive traction force to ipsilateral upper extremity/shoulder girdle *Associated with vascul..."

2016-09-08T17:27:45Z

Created page with "==Background== *Traumatic dislocation of scapula from thoracic wall *Mechanism: massive traction force to ipsilateral upper extremity/shoulder girdle *Associated with vascul..."

Página nueva

==Background==
*Traumatic dislocation of scapula from thoracic wall
*Mechanism: massive traction force to ipsilateral upper extremity/shoulder girdle
*Associated with [[vascular injury]] to subclavian or axillary artery and [[brachial plexus injury]]
==Clinical Features==
*Upper extremity pain
*Upper extremity numbness/tingling, weakness
*Swelling, ecchymosis to shoulder
*Injury to subclavian or axillary arteries: hematoma, pulse deficit
*Severe mechanism --> often associated with [[chest trauma]]

==Differential Diagnosis==

==Evaluation==
*CXR
**Laterally displaced scapula
**Associated with distracted [[clavicle fracture]], AC spearation, sternoclavicular dislocation
*CT Chest
**To identify intrathoracic injuries
*CT Angio
**To detect vascular injuries

==Management==
*Any evidence of neuro or vascular damage, hemodynamic instability--> surgery
*Normal neuro exam, no vascular injury: immobilization, supportive care

==Disposition==

==See Also==
*[[Clavicle fracture]]
*[[Sternoclavicular dislocation]]
*[[Scapula fracture]]
*[[Brachial plexus injury]]
*[[Vascular injury]]
==External Links==

==References==
<references/>