{
  "abstract": "Scapulothoracic dissociation is a rare, potentially devastating high-energy injury of the shoulder girdle, frequently associated with neurovascular and musculoskeletal injuries. While management primarily focuses on life- and limb-threatening complications, the role of operative skeletal stabilization remains less clearly defined. We present a case of Type I scapulothoracic dissociation with an unstable bifocal disruption of the superior shoulder suspensory complex (SSSC) managed using a customized fixation construct. A 35-year-old male sustained a Type I scapulothoracic dissociation following a high-energy motor vehicle collision, associated with a scapular spine-acromion fracture and acromioclavicular joint disruption resulting in an unstable bifocal SSSC injury. Following initial stabilization, operative fixation was performed using a customized contoured infrapectineal plate spanning the scapular spine, acromion, and clavicle, supplemented with coracoclavicular fixation. At 12-month follow-up, the patient achieved satisfactory functional recovery with 120° abduction and 150° forward flexion, without scapulothoracic instability or implant failure. Operative stabilization of scapulothoracic dissociation associated with an unstable bifocal SSSC injury can restore shoulder-girdle stability and facilitate functional recovery. In selected patients, a customized fixation construct may provide a viable solution when conventional fixation strategies are inadequate for the complex injury pattern.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedics, Sri Ramachandra Institute of Health Education and Research, Chennai, Tamil Nadu, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "S K Srinivasa Ram Prakassh"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohamed Sameer"
    },
    {
      "affs": [
        0
      ],
      "name": "Srijay Sashaank"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9xc1s97me1hm6.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8474",
  "fulltext_url": "https://europepmc.org/articles/PMC13740907",
  "id": "9xc1s97me1hm6",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997068",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2732|Shoulder and Clavicle Injuries"
    ]
  ],
  "openalex": "W7225575426",
  "pdf_url": "https://europepmc.org/articles/PMC13740907?pdf=render",
  "pmcid": "PMC13740907",
  "pmid": "42997068",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/9xc1s97me1hm6.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997068",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997068"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2732|Shoulder and Clavicle Injuries",
      "subfield": "surgery"
    }
  ],
  "title": "A Devastating Shoulder Girdle Injury and an Innovative Approach to Management - A Case Report.",
  "title_text": "A Devastating Shoulder Girdle Injury and an Innovative Approach to Management - A Case Report.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/9xc1s97me1hm6",
  "venue": "Journal of orthopaedic case reports",
  "versions": []
}