Fractured clavicle and ribs with pneumothorax

Case contributed by Assoc Prof Craig Hacking

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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Case information

rID: 65259
Published: 2nd Jan 2019
Last edited: 24th Dec 2019
Inclusion in quiz mode: Included

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