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Patient Safety in Surgery
Published in: Patient Safety in Surgery 1/2013

Open Access 01-12-2013 | Short report

Fracture of the shoulder girdle in multiply injured patients - an imperative for a high level of suspicion for associated neurovascular injuries

Authors: Senat Krasnici, Jörg Schmidt, Kolja Reimann, Wolfgang Ertel, Tobias Topp

Published in: Patient Safety in Surgery | Issue 1/2013

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Abstract

Background

The combination of a bony injury to the shoulder girdle and damage to the brachial plexus and the subclavian vessels is a rare finding. The cases of this combined injury pattern described in the literature are most notably reported in multiply-injured patients after high velocity trauma.

Findings

Three cases were admitted to our hospital after motorcycle accidents resulting in a combination of severe bony injuries to the shoulder girdle, to the subclavian artery and a lesion to the brachial plexus. Based on these three clinical cases the patterns of injury, as well as primary and secondary treatment approaches are presented.

Conclusion

The early detection of these injuries can be difficult in given acute, life threatening injuries addressed first in these multiply injured patients. A high level of suspicion, in conjunction with standardized ATLS based institutional protocols for secondary and tertiary survey, should increase the likelihood of a timely detection and early management of these rare but potentially devastating injuries.
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Literature
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Metadata
Title
Fracture of the shoulder girdle in multiply injured patients - an imperative for a high level of suspicion for associated neurovascular injuries
Authors
Senat Krasnici
Jörg Schmidt
Kolja Reimann
Wolfgang Ertel
Tobias Topp
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Patient Safety in Surgery / Issue 1/2013
Electronic ISSN: 1754-9493
DOI
https://doi.org/10.1186/1754-9493-7-24

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