Presentation
Pedestrian run over by truck. Emergency splenectomy.
Patient Data
Portable supine chest X-ray in resus
Displaced fracture of the left clavicle.
Fracture of the posterior left 7th rib.
Abnormal spacing of left ribs, 6 - 9.
Soft-tissue emphysema in the left chest wall.
T9/T10 fracture dislocation.
Bilateral chest drains and ETT appear satisfactory.
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Fracture-dislocation of the thoracic spine (3-column injury) with pneumorachis, rib fractures and dislocations, lung contusions.
Post splenectomy. Multiple thoracoabdominal injuries.
Coronal reformat clarifies the chest radiograph appearances. Thoracic spine fracture/dislocation and rib deformities due to multiple fractures and dislocations.
Case Discussion
Multi-trauma with numerous injuries, which can be detected by systematic analysis of the chest radiograph.
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