What are the main complications?
Laceration of the superior vena cava or brachiocephalic vein, injury to the subclavian or carotid arteries, thoracic outlet syndrome from venous compression, compression of the laryngeal recurrent nerve, pneumothorax, oesophageal or tracheal rupture.
Posterior left sternoclavicular joint dislocation with the proximal segment of the left clavicle compressing the left brachiocephalic vein. There is an associated anterior mediastinum haematoma, but no definitive features of active bleeding. Thoracic aorta has normal calibre and opacification, with no acute abnormalities. The remainder of the mediastinal structures are unremarkable. Patchy confluent airspace consolidations and groundglass opacities in the left upper lobe and in the medial aspects of the right lung. A tiny pneumothorax is identified adjacent ot the superior segment of the right lower lobe. Lungs and pleural spaces are otherwise unremarkable. Non-displaced fracture through the lateral margin of the right scapula.