Work

Scapulothoracic Dissociation With Polytrauma Following a High-Velocity Motor Vehicle Collision

Year: 2025

Type: article

Abstract: Scapulothoracic dissociation (STD) is a rare, limb- and life-threatening injury after high-energy trauma and is frequently obscured by concomitant injuries. This case report details a young adult male with a left open STD following a high-velocity motor vehicle collision. The patient was assessed promptly and managed according to Advanced Trauma Life Support principles with rapid hemodynamic stabilization and early cross-disciplinary coordination, and proceeded to emergency forequarter amputation as part of the damage-control strategy. Postoperatively, he received integrated critical care and a structured, team-based rehabilitation program. This case emphasizes the central importance of early recognition, expeditious resuscitation, a coordinated multidisciplinary approach to optimize trauma outcomes, and early, comprehensive rehabilitation to support recovery after a devastating injury and surgery.

Source: Cureus

DOI: 10.7759/cureus.97602

Authors: Mikail Amod, Alana Williams, Tylah Biggs

Institution: Groote Schuur Hospital

Language: English

Topic: Trauma Management and Diagnosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4416608098