{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:40Z","timestamp":1787755240624,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 53-year-old, right-hand\u2013dominant gentleman suffered a traumatic right scapulothoracic dissociation with severe soft tissue damage and complete right arm paralysis following a high-speed all-terrain vehicle accident. Subsequent burns led to digital amputations. He underwent elbow disarticulation with humeral shortening osteotomy, glenohumeral arthrodesis, and a vascularized radial osteocutaneous flap for clavicular reconstruction. Postoperatively, he achieved stable limb positioning and functional improvement with a prosthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case underscores the importance of a multidisciplinary approach and innovative surgical techniques in managing complex upper extremity injuries. Collaborative planning and the resourceful use of \u201cspare parts\u201d were pivotal in achieving a favorable outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00487","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T14:00:37Z","timestamp":1744898437000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Flail Arm Reconstruction After Failed Nerve Transfers"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0408-5542","authenticated-orcid":false,"given":"Kaleb B.","family":"Smithson","sequence":"first","affiliation":[{"name":"Baptist Health, Fort Smith, Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6962-5100","authenticated-orcid":false,"given":"Jacob","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6810-4672","authenticated-orcid":false,"given":"Kenneth","family":"Kearns","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5671-9776","authenticated-orcid":false,"given":"Adam","family":"Strohl","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5469-3914","authenticated-orcid":false,"given":"Matt","family":"Wilson","sequence":"additional","affiliation":[{"name":"Philadelphia Hand to Shoulder Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4]]},"reference":[{"issue":"5","key":"bib1-20250417","doi-asserted-by":"crossref","first-page":"758","DOI":"10.2106\/00004623-198466050-00016","article-title":"Traumatic lateral displacement of the scapula","volume":"66","author":"Oreck","year":"1984","journal-title":"J Bone Joint Surg."},{"issue":"3","key":"bib2-20250417","doi-asserted-by":"crossref","first-page":"428","DOI":"10.2106\/00004623-198870030-00016","article-title":"Scapulothoracic dissociation","volume":"70","author":"Ebraheim","year":"1988","journal-title":"J Bone Joint Surg."},{"issue":"3","key":"bib3-20250417","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1097\/00005373-199703000-00024","article-title":"Scapulothoracic dissociation caused by blunt trauma","volume":"42","author":"Damschen","year":"1997","journal-title":"J Trauma."},{"issue":"10","key":"bib4-20250417","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1016\/j.injury.2004.12.053","article-title":"Scapulothoracic dissociation: evaluation and management","volume":"36","author":"Brucker","year":"2005","journal-title":"Injury."},{"issue":"8","key":"bib5-20250417","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1097\/BOT.0b013e3181831352","article-title":"Scapulothoracic dissociation with acromioclavicular separation: a case report of a novel fixation method","volume":"22","author":"Merk","year":"2008","journal-title":"J Orthop Trauma."},{"issue":"5","key":"bib6-20250417","doi-asserted-by":"crossref","first-page":"339","DOI":"10.5435\/JAAOS-D-15-00509","article-title":"Scapulothoracic dissociation: evaluation and management","volume":"25","author":"Choo","year":"2017","journal-title":"The J Am Acad Orthop Surg."},{"issue":"4","key":"bib7-20250417","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/S0363-5023(05)80278-3","article-title":"Prosthetic usage in major upper extremity amputations","volume":"20","author":"Wright","year":"1995","journal-title":"J Hand Surg."},{"issue":"7","key":"bib8-20250417","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.jhsa.2018.03.053","article-title":"Current concepts in upper-extremity amputation","volume":"43","author":"Pierrie","year":"2018","journal-title":"J Hand Surg."},{"issue":"198","key":"bib9-20250417","first-page":"250","article-title":"Shoulder arthrodesis for the treatment of brachial plexus palsy","volume":"198","author":"Richards","year":"1985","journal-title":"Clin Orthopaedics Relat Res."},{"key":"bib10-20250417","doi-asserted-by":"crossref","first-page":"477","DOI":"10.2106\/00004623-195739020-00027","article-title":"The principles and art of plastic surgery. Sir Harold Gillies, C.B.E., F.R.S., and D. Ralph C. Millard, Jr., M.D. Boston, Little, Brown & Company, 1957. 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