Зображення 01259. Clavicular fracture, costal fractures and haemothorax

The patient fell off a motorcycle incurring injuries on the right side and shoulder. Difficulty breathing and hypotension in the initial phase. Native chest x-ray shows a dislocated fracture and a small loose bone fragment in the middle third of the clavicle (dislocation by half of the thickness of the bone). Fractures also in the 2^nd rib (dislocated by half of the thickness of the bone) and a smaller fracture in the 3^rd rib, concealed under the clavicle. Fractures also in the 5^th and 6^th ribs, and a suspected one in the 4^th rib. Extensive contusion changes in the right lung, subcutaneous emphysema in the right side.

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