The rare condition of scapulothoracic dissociation (STD) is characterized b
y a lateral displacement of the scapula from the thoracic cage following se
vere trauma to the scapular girdle. This study presents an analysis of five
STDs, There were three supraclavicular brachial plexus palsies and two ret
ro- and infraclavicular palsies, Recovery of elbow flexion was obtained in
only two cases. Nerve damage dominates the prognosis and nerve recovery onl
y rarely occurs. Nerve surgery should attempt to reestablish elbow flexion.