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Journal of Hand Surgery (British and European Volume)
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Articles

Brachial Plexus Injuries in Scapulothoracic Dissociation

E. H. MASMEJEAN
H. ASFAZADOURIAN
J.-Y. ALNOT

From the Department of Orthopaedic and Hand Surgery, Hôpital Bichat, Paris, France

Correspondence: Dr Emmanuel H. Masmejean, Dept of Orthopaedic and Hand Surgery, Hôpital Bichat, 46 rue Henri Huchard, 75877 Paris Cedex 18, France. E-mail: Emmanuel.Masmejean{at}wanadoo.fr

The rare condition of scapulothoracic dissociation (STD) is characterized by a lateral displacement of the scapula from the thoracic cage following severe trauma to the scapular girdle. This study presents an analysis of five STDs. There were three supraclavicular brachial plexus palsies and two retro- and infraclavicular palsies. Recovery of elbow flexion was obtained in only two cases. Nerve damage dominates the prognosis and nerve recovery only rarely occurs. Nerve surgery should attempt to reestablish elbow flexion

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 4, 336-340 (2000)
DOI: 10.1054/jhsb.2000.0393
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