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Fractured clavicle and ribs with pneumothorax

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Syncope, fall from standing height. Painful shoulder.

Patient Data

Age: 70 years
Gender: Female

Superiorly displaced and angulated fracture of the left clavicle midshaft. The acromioclavicular joint is normally aligned. Glenohumeral alignment is normal. Left-sided rib fractures. Left pneumothorax - formal trauma chest CT advised.

Case Discussion

Occasionally you may identify an occult PTX in a neck or shoulder X ray following trauma, which necessitates notification of the clinician ASAP and formal trauma imaging of the chest.

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