PDF(Pubmed)
Abstract：
Scapulothoracic dissociation due to a trauma is exceptional. The purpose of this study was to share our experience with a case of scapulothoracic dissociation and to explain the advantages of our approach. We report the case of a 12-year-old right-handed schoolgirl admitted to hospital with a blunt trauma to the right thoracic limb complicated by infection after a week of traditional treatment (massage, bandaging with reed splints). Surgical neck fracture of the right humerus complicated by wet gangrene of the entire limb and severe anaemia was diagnosed. Blood transfusion, triple antibiotic therapy and scapulohumeral disarticulation were required. Progressive excision of necrotic tissue followed by scapulectomy (day 24) for scapular necrosis made it possible to sterilise the site and to perform a skin graft (day 43). The patient was discharged after 2 months. Physiotherapy was combined with psychological treatment and the patient had a simple post-operative course during the 7-month follow-up period. Failure of conventional treatment for limb fractures can be life-threatening and cause severe sequelae.
摘要：
外伤引起的肩胸分离是例外。这项研究的目的是分享我们的经验与肩胸廓分离的情况下，并解释我们的方法的优势。我们报告了一例12岁的右撇子女学生入院，在经过一周的传统治疗后，右胸肢钝性外伤并发感染（按摩，用芦苇夹板包扎）。诊断为右肱骨外科颈骨折，并伴有整个肢体的湿性坏疽和严重贫血。输血,需要三联抗生素治疗和肩胛骨离断.逐步切除坏死组织，然后进行肩胛骨坏死的肩胛骨切除术（第24天），可以对该部位进行消毒并进行皮肤移植（第43天）。患者2个月后出院。物理治疗与心理治疗相结合，患者在7个月的随访期内进行了简单的术后疗程。四肢骨折的常规治疗失败可能危及生命并造成严重的后遗症。
