Extremity radiograph unknown 5

Anshuman Bansal

JHU SOM

abansal1@jhmi.edu

David Marker

JHU SOM

dmarker@jhmi.edu

Publication Date: 2009-09-09

Findings

This patient presented to the ER with shoulder pain after a bicycle accident.

Can you find a reason for the patient's shoulder pain on this x-ray?

Dislocation of the glenohumeral joint

Incorrect. It would be difficult to diagnosis this with just one view. There is no evidence of a dislocation of the shoulder joint here. Try again.

Fracture of the clavicle

Correct! This patient has fractured the left clavicle in the middle third of the bone. This is a very painful injury.

Multiple rib fractures

Incorrect. There are no fractured ribs on this radiograph. Try again.

Arthritis of the shoulder joint

Incorrect. Arthritis is a chronic pathology, however, this patient has acute pain after an accident. There are no changes compatible with arthritis on this radiograph. Try again.

	Dislocation of the glenohumeral joint Incorrect. It would be difficult to diagnosis this with just one view. There is no evidence of a dislocation of the shoulder joint here. Try again.
	Fracture of the clavicle Correct! This patient has fractured the left clavicle in the middle third of the bone. This is a very painful injury.
	Multiple rib fractures Incorrect. There are no fractured ribs on this radiograph. Try again.
	Arthritis of the shoulder joint Incorrect. Arthritis is a chronic pathology, however, this patient has acute pain after an accident. There are no changes compatible with arthritis on this radiograph. Try again.