Presentation
Fall
Patient Data
Age: 45 years
Gender: Male
From the case:
Rib fractures - right 4th-6th
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Mildly displaced right 4th to 6th anterior rib fractures. No pneumothorax or other abnormality.
Case Discussion
Undisplaced or anterior rib fractures can be difficult to appreciate on normal PA projections.
Dedicated oblique views to detect rib fractures are not normally warranted because the treatment between traumatic chest pain with and without fractures does not differ markedly as treatment is symptomatic relief. However, PA projections should be obtained to assess for complications (e.g. pneumonia, pneumothorax, hemothorax) 1. Chest x-rays (even with optimized projections) may miss up to 50% of rib fractures 2.
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