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Traumatic scapulothoracic dissociation represents the separation of the scapula from the chest wall. The mechanism of this trauma involves a severe traction applied to the upper member which translates into neurovascular and musculoskeletal injuries secondary to trauma. This lesion often goes unnoticed for appearing in conjunction with major trauma or presenting with bizarre symptoms. On physical examination, patients exhibit swelling of soft tissue around the shoulder and upper limb. Lateral displacement of scapula greater than 1 cm is the classic radiological finding on thoracic imaging studies. The key is to compare the distance from medial borders of the scapula to midline (dorsal column).Key words: Scapulothoracic dissociation, Subclavian vessels injury. Resumen: La disociacion escapulotoracica traumatica como su nombre lo indica, se define como la se-paracion de la escapula de la pared del torax. El mecanismo de este trauma implica una traccion severa aplicada al miembro superior con lesiones neurovasculares y musculoesqueleticas secundarias.Esta lesion suele pasar desapercibida por presentarse en conjunto con traumas mayores o cursar con sintomas bizarros. Al examen fisico, los pacientes presentan edema de tejidos blandos alrededor del hombro y de la parte superior de la extremidad.El hallazgo radiologico clasico en la radiografia de torax es el desplazamiento lateral mayor a 1 cm de la escapula con respecto al torax. La clave esta en comparar la distancia de los bordes mediales de las escapulas en relacion a una linea media en la columna dorsal.Palabras clave: Disociacion escapulotoracica, Lesiones de vasos subclavios.

Disociación escapulotorácica traumática: Una entidad para tener en cuenta en caso de trauma