Background: Scapulothoracic dissociation is a high-energy traumatic disruption of the scapulothoracic articulation often associated with severe neurovascular injuries, scapula fractures, and clavicular fractures. It is a rare injury that can be recognized on chest X-ray. Objective: This case report presents our patient with left femur and tibia shafts fracture, and left clavicle fracture with scapular separation indicating scapulothoracic dissociation. Case report: 26 years old male patient medically free, presented to our hospital on 25/4/2019 after a history of road traffic accident, the driver lost control as he was driving around 100km/hr and the car rolled over multiple times, patient was the passenger and not seatbetled and due to that he was ejected from the car, he suffered from loss of consciousness and does not remember the events of the accident and his presentation to the hospital. Conclusion: Scapulothoracic dissociation, although a rare injury, may be life threatening. Priority should be placed on resuscitative measures, as these patients have sustained significant trauma. As threatening ischemia is rare, careful observation is recommended for the nonthreatened limb. For the ischemic limb, inspection of the neurological injury is recommended as complete plexus injuries bear a poor functional prognosis and sequelae can include early amputation and death.