Dislocated 12th rib (costo-transverse joint)

Case contributed by Dr Chris O'Donnell

Presentation

Struck to the posterior chest wall by a piece of heavy industrial machinery

Patient Data

Age: 60
Gender: Male
Modality: CT

Multiple left-sided fractures including posterior left 9, 10, 11, 12 ribs as well as left T9, T10, T11, L1, L2, L3, L4 and L5 transverse processes.  The left 12th rib has dislocated at the costo-transverse joint and now sits anterior to its normal position.

Case Discussion

This is an unusual injury and reflects the large forces involved at the time of impact. Injuries in this location are often associated with renal trauma thus must be investigated further.

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Case Information

rID: 28964
Case created: 23rd Apr 2014
Last edited: 6th Oct 2015
Inclusion in quiz mode: Included

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