Зображення 01090. Clavicle fracture, rib fractures and haemothorax

In a motorcycle accident, the patient injured his right flank and shoulder. Symptoms included dyspnoea and hypotension. Plain chest x-ray shows a fracture of the right clavicle with a dislocation by about the thickness of the bone and a small loose fragment. 2^nd rib is fractured with a dislocation by a half of the bone thickness. 3^rd rib has a smaller fracture concealed by the clavicle. Fractures also in the 5^th and 6^th rib, and a suspected fracture in the 4^th rib. Large contusions in the right lung and subcutaneous emphysema in the right side. Right diaphragmatic dome elevated. Treatment consisted of analgesics, oxygen mask and close monitoring.

Picture source: Medimage / University of Turku. By courtesy of the Finnish Ministry of Education.