Clavicle and rib fractures

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Fall off bike

Patient Data

Age: 50 years
Gender: Male
x-ray

Inferiorly angulated transverse fracture of the left clavicle midshaft. The acromioclavicular joint is normal. Glenohumeral joint alignment is normal, and no proximal humeral or scapular fracture is demonstrated.

Multiple displaced left rib fractures including the third rib posteriorly and the fourth and fifth ribs laterally. No PTX.

x-ray

Angled clavicular view showing the fracture angulation.

Case Discussion

Every shoulder or clavicle radiograph should be assessed for rib and vertebral fractures as well as apical pneumothoraces.

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