Abstract
ISOLATED PURE EXTRATHORACIC SCAPULAR DISLOCATION: A CASE REPORT
*Giuseppe Caff, Giovanni Scavone, Gaetano Meli, Giovanni Restuccia and Marianna Coppolino
ABSTRACT
To our knowledge, we report the first case of pure and isolated extra thoracic scapular dislocation as a result of a sports injury and in total absence of any musculoskeletal lesions. Scapular dislocation is a rare entity that consists in the loss of the normal articular relationship among the shoulder-blade and the homolateral posterior ribs; it can be identified as intra-thoracic when there is a penetration of the scapula into the thoracic cavity or as extra-thoracic (or scapulo-thoracic dissociation) in the case of an external separation of the scapula from the thoracic wall. Given the rarity of the lesion, no bloodless maneuver or surgeries are described in literature. Our technique was based on the rely of the patient without any drugs and in a gentle maneuver to re locate the scapula; the mobility of the scapula on deep and superficial plane helped in the reduction and explains an extreme laxity of the patient that could on the basis of this very rare dislocation.
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