A case of scapular avulsion with upper limb

Limb avulsions are the most severe injuries of the musculoskeletal system. Among the causes of damage, separations due to the ingress of limbs under rail transport, into working machines and units, dominate. Bleeding from the wound with this type of injury is usually insignificant or absent at all, which is explained by damage to the wall of the main vessels at different levels. The thrombus in the lumen of the stump is intertwined and firmly held by all the shells of the ruptured vessel. The most severe injury is the complete separation of the scapula with the entire upper limb. Rapid rotation of the arm leads to twisting of the tunicae externae of large vessels, there is no severe bleeding when the limb is torn off.