Scapulothoracic Disarticulation of the Right Upper Limb After a Car-to-Obstacle Collision: A Case Report.
- 1Orthopedics and Traumatology, Hospital Universitário Cajuru, Curitiba, BRA.
Abstract
This report details the case of a 26-year-old man, victim of a car-to-barrier collision followed by a rollover. The patient, found conscious, was intubated by the pre-hospital team and admitted in severe hypovolemic shock, with extensive injury to the shoulder and right upper limb. After hemodynamic stabilization, the team performed bilateral chest drainage, a massive transfusion protocol, and a forequarter amputation of the right upper limb with ligation of the subclavian vessels, in a joint procedure by the orthopedic and vascular surgery teams. Postoperatively, he remained in the intensive care unit (ICU), developing ventilator-associated pneumonia, treated with meropenem and vancomycin. After 10 days, the patient was transferred to a ward. He was discharged from the hospital after 15 days of hospitalization and continued with outpatient follow-up, where he presented with phantom limb pain initially treated with gabapentin and controlled with physiotherapy. In the end, he was definitively discharged with good healing, pain improvement, and favorable clinical evolution.
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BibTeX
@article{farinazzo2026scapulothoracic,
title = {{Scapulothoracic Disarticulation of the Right Upper Limb After a Car-to-Obstacle Collision: A Case Report.}},
author = {Ana Carolina Augustini Farinazzo and Vinicius Rodrigues Pasetto and Bernardo Cassilha and Alice Rocha and Julya Felber and Diego Akyo Dos Santos and Mariana Muraro and Fernando Ferraz Faria},
journal = {Cureus},
year = {2026},
month = sep,
doi = {10.7759/cureus.116815},
url = {https://europepmc.org/article/MED/42926949},
note = {CC BY},
}
RIS
TY - JOUR
TI - Scapulothoracic Disarticulation of the Right Upper Limb After a Car-to-Obstacle Collision: A Case Report.
AU - Ana Carolina Augustini Farinazzo
AU - Vinicius Rodrigues Pasetto
AU - Bernardo Cassilha
AU - Alice Rocha
AU - Julya Felber
AU - Diego Akyo Dos Santos
AU - Mariana Muraro
AU - Fernando Ferraz Faria
PY - 2026
DA - 2026/09/24
JO - Cureus
DO - 10.7759/cureus.116815
UR - https://europepmc.org/article/MED/42926949
AB - This report details the case of a 26-year-old man, victim of a car-to-barrier collision followed by a rollover. The patient, found conscious, was intubated by the pre-hospital team and admitted in severe hypovolemic shock, with extensive injury to the shoulder and right upper limb. After hemodynamic stabilization, the team performed bilateral chest drainage, a massive transfusion protocol, and a forequarter amputation of the right upper limb with ligation of the subclavian vessels, in a joint procedure by the orthopedic and vascular surgery teams. Postoperatively, he remained in the intensive care unit (ICU), developing ventilator-associated pneumonia, treated with meropenem and vancomycin. After 10 days, the patient was transferred to a ward. He was discharged from the hospital after 15 days of hospitalization and continued with outpatient follow-up, where he presented with phantom limb pain initially treated with gabapentin and controlled with physiotherapy. In the end, he was definitively discharged with good healing, pain improvement, and favorable clinical evolution.
SN - 2168-8184
ER -