4th & Clavicle

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4th & Clavicle - Page #3

Lab Studies: None. Other Studies: Sternoclavicular Radiograph: Asymmetry of the sternoclavicular joints with more superior location of the right clavicle compared with the left, possibly projectional though joint injury not excluded.Probable avulsion fracture of the right coracoid process. Case Photo #7 CT Shoulder/Chest with Angiography: Right sternoclavicular joint dislocation with superior-posterior displacement of the clavicle. Small right apical pulmonary laceration with surrounding contusion. Case Photo #2 Case Photo #5 Case Photo #6 MRI Shoulder/Chest: Right sternoclavicular joint fracture dislocation. The right proximal clavicle epiphysis appears to remain in continuity with the right sternoclavicular joint with the remainder of the clavicle displaced superiorly-posteriorly consistent with a Salter Harris I fracture. The left sternoclavicular joint is maintained. There is a large amount of edema surrounding the right proximal and mid clavicle. Case Photo #1 Consultations: Orthopedic Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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