Scapulothoracic Dissociation Case Undergoing Revascularization

Abstract

A 12-year-old boy was struck by a pickup truck while on his bike and sustained a left clavicle fracture, brachial plexus injury, and left subclavian arterial/venous injury. Revascularization was indicated, given active bleeding and young age. The injured left subclavian artery was replaced with a greater saphenous vein graft. The left subclavian vein transection was reconstructed with cephalic vein graft interposition. The C7-8-Th1 avulsion injury was repaired by neurolysis and open reduction and fixation of the left clavicle fracture. Postoperatively, left upper extremity peripheral coldness improved, and the radial artery was readily palpable.